Temporary Kerato-Prosthesis to Resolve Traumatic Loss of a Healed Corneal Button
The aim of this study is to report a rare case of traumatic complete loss of a donor corneal button successfully resolved by a 24-h implantation of a temporary kerato-prosthesis. A healthy 30-year-old man with a history of prior penetrating keratoplasty (PKP) presented with an open globe following a...
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doaj-1a34c09acc3c4e778ccc5b7f880ef59c2021-06-15T12:13:14ZengKarger PublishersCase Reports in Ophthalmology1663-26992021-04-0112125425810.1159/000509847509847Temporary Kerato-Prosthesis to Resolve Traumatic Loss of a Healed Corneal ButtonAlessandra Balestrazzi0Alessandro Di Maggio1Paolo Michieletto2Gianluca Martone3Angelo Balestrazzi4Ophthalmic Hospital, Rome, ItalyOphthalmology Unit, Misericordia Hospital, Usl Toscana Sud Est, Grosseto, ItalyOphthalmic Hospital, Rome, ItalyOphthalmology Unit, Misericordia Hospital, Usl Toscana Sud Est, Grosseto, ItalyOphthalmology Unit, Misericordia Hospital, Usl Toscana Sud Est, Grosseto, ItalyThe aim of this study is to report a rare case of traumatic complete loss of a donor corneal button successfully resolved by a 24-h implantation of a temporary kerato-prosthesis. A healthy 30-year-old man with a history of prior penetrating keratoplasty (PKP) presented with an open globe following accidental contusive trauma with a ball, while he was playing football. At slit-lamp evaluation, complete dehiscence of the wound at the graft-host junction and complete corneal button loss was evident. The patient was immediately taken to the operating room, but a donor cornea was not available; therefore, a vitreo-retinal temporary kerato-prosthesis was implanted to close the eyeball until a new donor cornea was available. In case of complete dehiscence of the donor-host junction after PKP with corneal button loss, it is possible to use a temporary kerato-prosthesis to stabilize the eye and contain the intraocular structures. We recommend the availability of temporary vitreo-retinal kerato-prosthesis in the operating theatres of Corneal Surgical Units.https://www.karger.com/Article/FullText/509847temporary kerato-prosthesiscorneal button losstrauma |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Alessandra Balestrazzi Alessandro Di Maggio Paolo Michieletto Gianluca Martone Angelo Balestrazzi |
spellingShingle |
Alessandra Balestrazzi Alessandro Di Maggio Paolo Michieletto Gianluca Martone Angelo Balestrazzi Temporary Kerato-Prosthesis to Resolve Traumatic Loss of a Healed Corneal Button Case Reports in Ophthalmology temporary kerato-prosthesis corneal button loss trauma |
author_facet |
Alessandra Balestrazzi Alessandro Di Maggio Paolo Michieletto Gianluca Martone Angelo Balestrazzi |
author_sort |
Alessandra Balestrazzi |
title |
Temporary Kerato-Prosthesis to Resolve Traumatic Loss of a Healed Corneal Button |
title_short |
Temporary Kerato-Prosthesis to Resolve Traumatic Loss of a Healed Corneal Button |
title_full |
Temporary Kerato-Prosthesis to Resolve Traumatic Loss of a Healed Corneal Button |
title_fullStr |
Temporary Kerato-Prosthesis to Resolve Traumatic Loss of a Healed Corneal Button |
title_full_unstemmed |
Temporary Kerato-Prosthesis to Resolve Traumatic Loss of a Healed Corneal Button |
title_sort |
temporary kerato-prosthesis to resolve traumatic loss of a healed corneal button |
publisher |
Karger Publishers |
series |
Case Reports in Ophthalmology |
issn |
1663-2699 |
publishDate |
2021-04-01 |
description |
The aim of this study is to report a rare case of traumatic complete loss of a donor corneal button successfully resolved by a 24-h implantation of a temporary kerato-prosthesis. A healthy 30-year-old man with a history of prior penetrating keratoplasty (PKP) presented with an open globe following accidental contusive trauma with a ball, while he was playing football. At slit-lamp evaluation, complete dehiscence of the wound at the graft-host junction and complete corneal button loss was evident. The patient was immediately taken to the operating room, but a donor cornea was not available; therefore, a vitreo-retinal temporary kerato-prosthesis was implanted to close the eyeball until a new donor cornea was available. In case of complete dehiscence of the donor-host junction after PKP with corneal button loss, it is possible to use a temporary kerato-prosthesis to stabilize the eye and contain the intraocular structures. We recommend the availability of temporary vitreo-retinal kerato-prosthesis in the operating theatres of Corneal Surgical Units. |
topic |
temporary kerato-prosthesis corneal button loss trauma |
url |
https://www.karger.com/Article/FullText/509847 |
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