2005年4月
The osteo-odonto-keratoprosthesis (OOKP)
Seminars in Ophthalmology
- 巻
- 20
- 号
- 2
- 開始ページ
- 113
- 終了ページ
- 128
- 記述言語
- 英語
- 掲載種別
- DOI
- 10.1080/08820530590931386
The osteo-odonto-keratoprosthesis (OOKP), although described over 40 years ago, remains the keratoprosthesis of choice for end-stage corneal blindness not amenable to penetrating keratoplasty. It is particularly resilient to a hostile environment such as the dry keratinized eye resulting from severe Stevens-Johnson syndrome, ocular cicatricial pemphigoid, trachoma, and chemical injury. Its rigid optical cylinder gives excellent image resolution and quality. The desirable properties of the theoretical ideal keratoprosthesis is described. The indications, contraindications, and patient assessment (eye, tooth, buccal mucosa, psychology) for OOKP surgery are described. The surgical and anaesthetic techniques are described. Follow-up is life-long in order to detect and treat complications, which include oral, oculoplastic, glaucoma, vitreoretinal complications and extrusion of the device. Resorption of the osteo-odonto-lamina is responsible for extrusion, and this is more pronounced in tooth allografts. Regular imaging with spiral-CT or electron beam tomography can help detect bone and dentine loss. The optical cylinder design is discussed. Preliminary work towards the development of a synthetic OOKP analogue is described. Finally, we describe how to set up an OOKP national referral center. Copyright © Taylor &
Francis Inc.
Francis Inc.
- リンク情報
- ID情報
-
- DOI : 10.1080/08820530590931386
- ISSN : 0882-0538
- PubMed ID : 16020351
- SCOPUS ID : 21344474309