ArticleEye (London, England)2018
Boston keratoprosthesis type 1: outcomes of the first 38 cases performed at Moorfields Eye Hospital.
Article in Eye (London, England), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Clinical Outcomes and Early Postoperative Complications in Boston Type I Keratoprosthesis Implantation: A Retrospective Study.Journal of clinical medicine · 2024Article
- Wide-field vitreoretinal surgery in eyes with Boston type 1 keratoprosthesis.International ophthalmology · 2022Article
- [Treatment of vascularized high-risk eyes with a Boston keratoprosthesis].Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft · 2021Review
- Boston Type 1 Keratoprosthesis: Updated Perspectives.Clinical ophthalmology (Auckland, N.Z.) · 2020Review
- Eight-years Egyptian experience of Boston type I keratoprosthesis following failed penetrating keratoplasty or ocular surface disease.Saudi journal of ophthalmology : official journal of the Saudi Ophthalmological SocietyArticle
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Authors and funding
3 authors.
Funding
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Abstract
purposeTo evaluate outcomes of Boston keratoprosthesis type 1 (K-Pro) surgery in a cohort of high-risk patients at Moorfields Eye Hospital. Our patients were referred to us at the end-point of their ocular disease.
methodsA retrospective review of all K-Pro surgery performed between March 2011 and July 2015 with a minimum follow-up of 12 months.
results39 eyes of 38 patients were included. Mean follow-up was 28.4 months (range: 12-56). The main indication for surgery was bullous keratopathy from multiple failed grafts (56%). 26 cases (72.2%) had known posterior segment disease pre-operatively. Mean BCVA for the entire cohort (n = 39) initially improved from HM vision to 1/60 before returning to CF vision by 6 months and was maintained for the duration of follow-up. By final follow-up (n = 39), 46% had improved vision (1 line improvement in 10%; 2 lines or more in 36%) and 31% maintained pre-operative visual acuity. Anterior segment pathology was not an independent variable in visual outcome. However, absence of posterior segment disease was significant and performed best, improving from HM to 6/15 and maintaining that vision in the longer term. There were 13 (33%) cases of progressive glaucomatous optic neuropathy, 10 (26%) retinal detachments, 8 (21%) retroprosthetic membranes, 3 (8%) infective keratitis and 2 (5%) vitritis of which 1 progressed to endophthalmitis. In all, 3 (8%) had NPL vision and 4 (10%) required removal of the K-Pro.
conclusionsImplantation of the Boston K-Pro can lead to improved vision, with the main limiting factor being posterior segment pathology.
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