Vitrectomy using the Eckardt temporary keratoprosthesis

Autor: Supalert Prakhunhungsit, Nicolas A. Yannuzzi, Audina M. Berrocal
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: American Journal of Ophthalmology Case Reports, Vol 19, Iss , Pp 100709- (2020)
Druh dokumentu: article
ISSN: 2451-9936
DOI: 10.1016/j.ajoc.2020.100709
Popis: Purpose: to present the now vitrectomy technique through a limbus via preexisting holes in the Eckardt TKP. Methods: the surgical technique performed in a case of four-year-old girl presented with a complete hyphema and vitreous hemorrhage in the left eye. Results: the vitrectomy was performed vial a limbal approach from the TKP without making additional sclerotomies. The vitreous hemorrhage was evacuated, the hyaloid elevated, the periphery examined with an excellent widefield view without scleral depression, an air-fluid exchange performed, and the air exchanged for silicone oil. Finally, the TKP was replaced with a permanent graft. The surgical video was presented additionally. Conclusion and importance: Eckardt TKP allows for a limbal approach in aphakic or non-lens sparing vitrectomy surgery while maintaining a stable intraocular pressure, excellent peripheral and posterior access and while avoiding the need for pars plana sclerotomy placement which can be challenging in complex cases.
Databáze: Directory of Open Access Journals