Boston KPro Type I: Complications
As with any new surgical procedure, the description of the related complications and its management constitutes a very relevant section. We have had the opportunity to include the expertise of a group of excellent international expert surgeons, who used t
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José L. Güell, Elena Arrondo, M. Soledad Cortina, Jaime Echevarría, Maria V. Gómez-Resa, Oscar Gris, Sadeer B. Hannush, and Carlos Mateo
Contents 11.1 11.1.1
11.6.1
Conjunctiva Erosion and Tube Exposure .................................................... Tube Occlusion .......................................... Plate Exposure ........................................... Choroidal Effusion and Suprachoroidal Hemorrhage ............................................... Plate Encapsulation .................................... Endophthalmitis .........................................
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Diode Laser Cyclophotocoagulation Complications ...........................................
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Vitreoretinal Pathology in Patients with Permanent Keratoprosthesis ..........
99
References ...............................................................
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Surgical Complications............................ Complications with the Boston Type I Device ............................................. Complications with the Recipient Eye .............................................
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11.2
Sterile Keratolysis ....................................
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11.6.5 11.6.6
11.3
Retroprosthetic Membranes ...................
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11.7
11.4
Infectious Keratitis...................................
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11.5
Glaucoma Surgery-Related Complications ...........................................
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Complications Associated with GDD .....
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11.1.2
11.6
J.L. Güell, MD, PhD (*) Cornea and Refractive Surgery Unit, Instituto Microcirugia Ocular of Barcelona, Barcelona, Spain Autonoma University of Barcelona, C/Josep Mª Lladó, 3, Barcelona 08035, Spain e-mail: [email protected] E. Arrondo • M.V. Gómez-Resa • O. Gris • C. Mateo Instituto Microcirugia ocular of Barcelona, Josep Maria llado 3, Barcelona 08035, Spain e-mail: [email protected]; [email protected]; [email protected]; [email protected] J. Echevarría Instituto Clinico Quirurgico de Oftalmologia, Servicio de Cornea y Superficie Ocular, Bilbao, Spain e-mail: [email protected]
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11.6.2 11.6.3 11.6.4
11.8
97 98 98
M.S. Cortina, MD Cornea, External Disease and Refractive Surgery Service, Artificial Cornea Program, Illinois Eye and Ear Infirmary, Department of Ophthalmology and Visual Sciences, University of Illinois School of Medicine, 1855 West Taylor Street, Chicago, IL 60612, USA e-mail: [email protected] S.B. Hannush, MD Department of Ophthalmology, Cornea Service, Wills Eye Hospital, Jefferson Medical College, Philadelphia, PA, USA Lions Eye Bank of Delaware Valley, Philadelphia, PA, USA e-mail: [email protected]
M. Soledad Cortina, J. de la Cruz (eds.), Keratoprostheses and Artificial Corneas: Fundamentals and Surgical Applications, DOI 10.1007/978-3-642-55179-6_11, © Springer-Verlag Berlin Heidelberg 2015
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J.L. Güell et al.
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11.1
Surgical Complications
It is common knowledge to all surgeons that the best way to manage complications is not to get them in the first place [1]. The discussion that follows will concentrate on the Boston keratoprost
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