Standards for modified osteoodontokeratoprosthesis (OOKP) surgery according to Strampelli and Falcinelli: the Rome-Vienna Protocol.
OBJECTIVE
To establish a time-proven "gold standard" in modified osteoodontokeratoprosthesis (OOKP) surgery.


METHODS
The OOKP is the procedure of choice for restoring sight in patients with corneal blindness caused by end-stage ocular surface disease not amenable to penetrating keratoplasty. Members of the OOKP Study Group met in Rome, Italy in 2001 and Vienna, Austria in 2002 to discuss indications and contraindications, patient selection, surgical technique, postoperative care, and recognition and management of complications of OOKP surgery according to Strampelli and modified by Falcinelli.


RESULTS
Falcinelli's modification of Strampelli's technique of OOKP surgery remains the gold standard as far as visual and keratoprosthesis-retention results are concerned. The agreement on indications and contraindications, patient selection, surgical technique, postoperative care, and recognition and management of complications of this technique of OOKP surgery is summarized in the text of this manuscript.


CONCLUSIONS
This standard technique of modified OOKP surgery, where adequately performed, is capable of providing excellent anatomic and functional results even in the long term. In patients with corneal blindness untreatable by other approaches, we strongly recommend this technique for visual rehabilitation. Students of OOKP surgery should become familiar with the protocol described in this paper before subjecting the technique to further modifications.
Hille
Konrad
K
Eye Department and Hospital, University of Saarland, Homburg (Saar), Germany. aukhil@uniklinik-saarland.de
Grabner
Günther
G
Liu
Christopher
C
Colliardo
Paolo
P
Falcinelli
Giovanni
G
Taloni
Maurizio
M
Falcinelli
GianCarlo
G
D000539:Alveolar Process / Q000637:transplantation*; D001766:Blindness / Q000209:etiology / Q000601:surgery*; D003316:Corneal Diseases / Q000150:complications / Q000601:surgery*; D003804:Dentin / Q000637:transplantation; D005500:Follow-Up Studies; D006801:Humans; D009061:Mouth Mucosa / Q000637:transplantation*; D019904:Polymethyl Methacrylate; D011474:Prosthesis Design; D019919:Prosthesis Implantation / Q000379:methods / Q000592:standards; D012189:Retrospective Studies; D013536:Suture Techniques; D013997:Time Factors; D014092:Tooth Root / Q000637:transplantation*; D014182:Transplantation, Autologous; D016896:Treatment Outcome; D014792:Visual Acuity
D019904:Polymethyl Methacrylate