Preliminary clinical study on perforating prosthokeratoplasty.
OBJECTIVE
To observe the effects of perforating prosthokeratoplasty on patients with leucoma who failed in keratoplasty or were not suitable for keratoplasty, and improved their vision.


METHODS
Five cases with leucoma (4 with chemical burn and 1 with blast) received Yakimenko Style keratoprosthesis implantation. Preoperative examination showed the visual acuity in 4 of the 5 cases was light perception, and that of the other one was FC/20 cm. The light orientation in 3 patients was definite, and that in the other two was indefinite.


RESULTS
The vision improved in 4 of 5 patients in the follow-up period of 9 months to 3 years. Their visual acuity showed 0.09 to 0.8. And there was no change of vision in the other 1 case.


CONCLUSIONS
Prosthokeratoplasty is the first choice for rehabilitation of the blind that have leucoma but are not suitable for or failed in penetrating keratoplasty.
Chen
Jian
J
Department of Ophthalmology, First Affiliated Hospital of Jinan University, Guangzhou 510630, China.
Xu
Jintang
J
Yakimenko
S A
SA
Hou
Guanghui
G
Sun
Bingji
B
Zheng
Aning
A
Zhao
Songbin
S
D000328:Adult; D002057:Burns, Chemical / Q000150:complications; D003318:Corneal Opacity / Q000209:etiology / Q000601:surgery*; D016039:Corneal Transplantation; D005131:Eye Injuries / Q000150:complications / Q000601:surgery; D005500:Follow-Up Studies; D006801:Humans; D015948:Keratoplasty, Penetrating / Q000009:adverse effects; D008297:Male; D019919:Prosthesis Implantation; D014792:Visual Acuity