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In severe ocular surfaceOcular surface disease, where penetrating keratoplastyKeratoplasty has a poor prognosis or previous corneal grafts failed, implantation of a keratoprosthesis (KPro) can achieve visual rehabilitationVisual rehabilitation. Prosthetic devices with a biological (Osteo-odonto-keratoprosthesisOsteo‐odonto‐keratoprosthesis or Tibia-Keratoprosthesis)Tibia keratoprosthesis and artificial haptic (e.g. Boston KPro type I and II) are available and commonly used. Both approaches show substantial differences in the type of procedure as well as in long-term outcome and complicationsComplications, such as extrusion, endophthalmitis, glaucoma and retinal detachment. KPros with a biological haptic can be implanted successfully even in severe dry eyesDry eye, in which other devices frequently fail.

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Keratoprosthesis

  • 章节

  • 发表日期：

    2025年

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  • Gerd Geerling,
  • Friedrich Steindor

摘要

In severe ocular surfaceOcular surface disease, where penetrating keratoplastyKeratoplasty has a poor prognosis or previous corneal grafts failed, implantation of a keratoprosthesis (KPro) can achieve visual rehabilitationVisual rehabilitation. Prosthetic devices with a biological (Osteo-odonto-keratoprosthesisOsteo‐odonto‐keratoprosthesis or Tibia-Keratoprosthesis)Tibia keratoprosthesis and artificial haptic (e.g. Boston KPro type I and II) are available and commonly used. Both approaches show substantial differences in the type of procedure as well as in long-term outcome and complicationsComplications, such as extrusion, endophthalmitis, glaucoma and retinal detachment. KPros with a biological haptic can be implanted successfully even in severe dry eyesDry eye, in which other devices frequently fail.