Kiang Lee, Sippel Kimberly C, Starr Christopher E, Ciralsky Jessica, Rosenblatt Mark I, Radcliffe Nathan M, D'Amico Donald J, Kiss Szilárd
Weill Cornell Medical College, Rockefeller University/Sloan-Kettering Institute Tri-Institutional MD-PhD Program, New York, NY 10021, USA.
Arch Ophthalmol. 2012 Apr;130(4):487-92. doi: 10.1001/archophthalmol.2011.1115.
To evaluate the surgical management of vitreoretinal pathology in patients with a permanent Boston Type 1 keratoprosthesis (hereafter referred to as a KPro) in the era of small-gauge vitrectomy techniques.
Retrospective review of 23 small-gauge vitreoretinal surgical procedures during or after Dohlman-Doane KPro placement in 14 eyes.
Established and innovative techniques were used, including sutureless small-gauge vitrectomy, temporal positioning of surgeon, long-term tamponades, and exploratory endoscopy. Retro-KPro membranes formed less frequently when vitrectomy was performed during KPro placement. Anatomical goals were achieved, and no serious complications directly resulted from these techniques. Visual acuity, frequently limited by preexisting pathology, improved in most cases.
Modern posterior segment surgical techniques, including small-gauge sutureless vitrectomy, can be effectively used for patients with a permanent KPro. Vitrectomy and glaucoma tube revision by a team of subspecialists at the time of KPro placement may reduce subsequent complications.
评估在小切口玻璃体切割技术时代，永久性波士顿1型人工角膜（以下简称KPro）患者玻璃体视网膜病变的手术治疗方法。
回顾性分析14只眼在植入多尔曼-多恩KPro期间或之后进行的23例小切口玻璃体视网膜手术。
采用了成熟和创新的技术，包括无缝合小切口玻璃体切割术、术者颞侧定位、长期填塞和探索性内窥镜检查。在植入KPro期间进行玻璃体切割术时，KPro后膜形成的频率较低。实现了解剖学目标，这些技术未直接导致严重并发症。视力通常受原有病变限制，大多数病例有所改善。
现代后段手术技术，包括小切口无缝合玻璃体切割术，可有效用于永久性KPro患者。在植入KPro时由专科医生团队进行玻璃体切割术和青光眼引流管修复术可能会减少后续并发症。
