Pinar-Sueiro S, Etxebarria-Ecenarro J, Gibelalde A, Closa-Clarià R, Martínez-Alday N
Servicio de Oftalmología, Hospital de Cruces, Baracaldo, Vizcaya, España.
Arch Soc Esp Oftalmol. 2009 Dec;84(12):635-40. doi: 10.4321/s0365-66912009001200009.
We present the case of a woman readmitted to our service to receive treatment for severe ophthalmic manifestations due to Lyell's syndrome. This intense affectation of the ocular surface along with limbal stem cell deficiency are grounds for treatment with Boston type 1 keratoprosthesis, which provided a stable and very satisfactory functional result.
As noted in this case report, the Boston Type 1 keratoprosthesis seems to be a viable option after multiple failed corneal grafts or in situations with a poor prognosis for primary penetrating keratoplasty because of limbal stem cell deficiency, such as Lyell's syndrome.