title: Indications for orbital decompression for patients undergoing keratoprosthesis surgery.
abstract: BACKGROUND
  Optimizing the ocular surface and achieving acceptable cosmesis are important considerations in the rehabilitation of patients with keratoprosthesis (KPro). In osteo-odonto-KPro and type 1 Boston KPro surgery, it is important to ensure a healthy ocular surface to increase the chance of functional success.
  
  
  METHODS
  The authors present 2 patients with KPros undergoing orbital decompression surgery. This series highlights a novel indication for orbital decompression surgery for patients, who are usually 1-eyed, undergoing KPro surgery. It illustrates the importance of globe position to either optimize the ocular surface or allow a cosmetic shell to be worn. To the authors' knowledge, such indications for orbital decompression have not been reported to date.
  
  
  RESULTS
  Two-wall and intraconal fat orbital decompression surgery achieved globe retroplacement of 6 mm and 7 mm, allowing fitting of a cosmetic shell over the osteo-odonto-KPro and reducing lagophthalmos and corneal exposure in patients 1 and 2, respectively.
  
  
  CONCLUSIONS
  Indications for orbital decompression exist in patients undergoing osteo-odonto-KPro or KPro to reduce pseudoproptosis or exposure.
authors: Corneo-Plastic Unit, Queen Victoria Hospital NHS Foundation Trust, East Grinstead, West Sussex, United Kingdom.
authors: Jonathan H
authors: JH
authors: Norris
authors: David
authors: D
authors: Carpenter
authors: Nancy
authors: N
authors: Al Raqqad
authors: Paul
authors: P
authors: Brittain
authors: Sheraz
authors: S
authors: Daya
authors: Christopher
authors: C
authors: Liu
authors: Raman
authors: R
authors: Malhotra
mesh_terms: D000273:Adipose Tissue / Q000601:surgery; D000328:Adult; D003315:Cornea; D003316:Corneal Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D019299:Decompression, Surgical; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009915:Orbit / Q000000981:diagnostic imaging / Q000601:surgery*; D019736:Prostheses and Implants; D019919:Prosthesis Implantation; D014057:Tomography, X-Ray Computed