Temporary keratoprosthesis for surgical management of complicated combined anterior and posterior segment injuries to the eye: combat- versus noncombat-injury cases.
We used a Landers-Foulks temporary keratoprosthesis lens to combine penetrating keratoplasty with vitreoretinal surgery in 21 eyes of 21 patients. Ten of these patients were victims of combat injuries; 11 had traumatic injuries unrelated to war. After a mean follow up of 11 months, satisfactory overall results, ie, an attached retina and a clear cornea, were obtained in nine eyes (42.8%). In two, the retina was attached but the corneal graft was rejected. Eight eyes achieved a visual acuity of 5/200 or better. The visual prognosis as well as the rate of retinal reattachment for the combat-injured eyes were poorer than those for the traumatic noncombat-injured eyes. At the last follow-up examination, 60% of the combat-injured eyes were considered visually lost, as compared with 36.3% of the noncombat-injured eyes.
Department of Ophthalmology, Labbafinejad Medical Center, Shaheed Beheshti University of Medical Sciences, Tehran, Iran.
M
M
Soheilian
H
H
Ahmadieh
H
H
Sajjadi
M
M
Azarmina
A M
AM
Miratashi
G A
GA
Peyman
D000293:Adolescent; D000328:Adult; D000869:Anterior Eye Segment / Q000293:injuries / Q000601:surgery; D001672:Biocompatible Materials; D002648:Child; D002675:Child, Preschool; D003315:Cornea / Q000601:surgery*; D005129:Eye Foreign Bodies / Q000209:etiology / Q000601:surgery; D015807:Eye Injuries, Penetrating / Q000209:etiology / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D019736:Prostheses and Implants; D014857:Warfare
D001672:Biocompatible Materials