Histopathology of Long-Term Cardona Keratoprosthesis

Autor: Celia R Hicks, Lawrence W. Hirst, Terry Robertson, Sarojini Vijayasekaran
Rok vydání: 2005
Předmět:
Zdroj: Cornea. 24:233-237
ISSN: 0277-3740
DOI: 10.1097/01.ico.0000134192.26239.62
Popis: Purpose: To report histologic findings of a Cardona keratoprosthesis (KPro) in an eye enucleated after 14 years. Methods: Case report of a 56-year-old male whose KPro was implanted following bilateral chemical burns. Following enucleation, histopathology by light and transmission electron microscopy was performed. Results: The prosthesis was retained in the eye until clinical complications including retinal detachment necessitated enucleation after 14 years. Histopathology confirmed a total retinal detachment, necrosis of the detached retina, inflammation, and foreign-body reaction in the Dacron mesh. Calcification was not seen. Conclusion: PMMA is a suitable material for an optic and provides for good postoperative acuity. The complex skirt area may be predisposed to long-term inflammation. Less complicated surgery and a simple inert device with a flange with good mechanical and biologic integration may help in reducing postoperative complications.
Databáze: OpenAIRE