title: Boston Keratoprosthesis Type 1 in Chemical Burns.
abstract: OBJECTIVE
  To describe and further analyze the long-term results in visual acuity (VA), anatomical retention, and rate of complications from patients who underwent Boston keratoprosthesis (B-Kpro) type 1 after ocular chemical burns in the Dominican Republic.
  
  
  METHODS
  A retrospective review of 42 eyes (22 OD:20 OS) of 36 patients who underwent B-Kpro type 1 implantation after severe ocular burn at Hospital Elías Santana in Santo Domingo, Dominican Republic, between April 2006 and October 2014, were included.
  
  
  RESULTS
  Demographics, VA, anatomical retention, and the rates of postoperative complications and concurrent surgeries were evaluated.
  
  
  CONCLUSIONS
  The excellent anatomical retention rates and visual outcomes presented in this study support the remarkable capability of B-Kpro type 1 to restore functional VA in eyes with severe chemical injuries. However, strict control of the postoperative complications is necessary for long-term success. In conclusion, the use of a B-Kpro type 1 after severe chemical burn is a viable option in patients otherwise condemned to the high risk of failure associated with conventional corneal grafts.
authors.affiliation: *Department of Ophthalmology, Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, MA; and †Department of Ophthalmology, Hospital Elías Santana, Santo Domingo, Dominican Republic.
authors.forename: Borja
authors.initials: B
authors.lastname: Salvador-Culla
authors.forename: Paraskevi E
authors.initials: PE
authors.lastname: Kolovou
authors.forename: Linnette
authors.initials: L
authors.lastname: Arzeno
authors.forename: Santiago
authors.initials: S
authors.lastname: Martínez
authors.forename: Miguel A
authors.initials: MA
authors.lastname: López
mesh_terms: D000328:Adult; D001705:Bioprosthesis; D002057:Burns, Chemical / Q000503:physiopathology / Q000601:surgery*; D003316:Corneal Diseases / Q000503:physiopathology / Q000601:surgery*; D005126:Eye Burns / Q000139:chemically induced*; D005260:Female; D006085:Graft Survival / Q000502:physiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D019736:Prostheses and Implants; D019919:Prosthesis Implantation; D012189:Retrospective Studies; D014792:Visual Acuity / Q000502:physiology; D055815:Young Adult