Keratoprosthesis: Current global scenario and a broad Indian perspective

Geetha Iyer, Bhaskar Srinivasan, Shweta Agarwal, Deepti Talele, Ekta Rishi, Pukhraj Rishi, Sripriya Krishnamurthy, Lingam Vijaya, Nirmala Subramanian, Shanmugasundaram Somasundaram

Research output: Contribution to journalReview articlepeer-review

24 Scopus citations

Abstract

Keratoprosthesis (Kpro) forms the last resort for bilateral end-stage corneal blindness. The Boston Type 1 and 2 Kpros, the modified osteo-odonto Kpro and the osteo-Kpro are the more frequently and commonly performed Kpros, and this review attempts to compile the current data available on these Kpros worldwide from large single-center studies and compare the indications and outcomes with Kpros in the Indian scenario. Although the indications have significantly expanded over the years and the complications have reduced with modifications in design and postoperative regimen, these are procedures that require an exclusive setup, and a commitment toward long-term follow-up and post-Kpro care. The last decade has seen a surge in the number of Kpro procedures performed worldwide as well as in India. There is a growing need in our country among ophthalmologists to be aware of the indications for Kpro to facilitate appropriate referral as well as of the procedure to enable basic evaluation during follow-ups in case the need arises, and among corneal specialists interested to pursue the field of Kpros in understanding the nuances of these surgeries and to make a judicious decision regarding patient and Kpro selection and more importantly deferral.

Original languageEnglish (US)
Pages (from-to)620-629
Number of pages10
JournalIndian Journal of Ophthalmology
Volume66
Issue number5
DOIs
StatePublished - May 2018
Externally publishedYes

Keywords

  • Boston keratoprosthesis
  • keratoprosthesis
  • ocular surface disorders
  • osteoodonto keratoprosthesis

ASJC Scopus subject areas

  • Ophthalmology

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