Santos Albert, Silva Luzia Diegues, de Sousa Luciene Barbosa, de Freitas Denise, de Oliveira Lauro Augusto
Cornea and External Diseases Service, Department of Ophthalmology and Visual Sciences, Paulista School of Medicina, São Paulo Hospital, Federal University of São Paulo, São Paulo, Brazil.
Am J Ophthalmol Case Rep. 2017 Mar 14;6:71-73. doi: 10.1016/j.ajoc.2017.01.007. eCollection 2017 Jun.
To report the outcomes of implantation of the Boston Type I keratoprosthesis in three patients with Acanthamoeba keratitis (AK), a severe infection that can lead to significant visual loss.
Case series reporting three patients with difficult cases of AK that needed multiple corneal transplantations and glaucoma surgeries. All patients were implanted with the Boston Type I keratoprosthesis device. The main outcomes measure were the visual function and anatomical retention after implantation of the Boston Type I keratoprosthesis. All patients retained the device over the long-term and had good visual function. In one patient a retroprosthetic membrane developed and in another patient an epithelial lip developed over the anterior surface of the keratoprosthesis. The visual acuities range from 20/25 to 20/80 in the implanted eyes.
The Boston Type I keratoprosthesis resulted in good anatomic and functional results after multiple graft failures after AK.
报告波士顿I型人工角膜植入术治疗3例棘阿米巴角膜炎（AK）患者的结果，这是一种严重感染，可导致严重视力丧失。
病例系列报告了3例AK疑难病例，这些患者需要多次角膜移植和青光眼手术。所有患者均植入了波士顿I型人工角膜装置。主要观察指标为波士顿I型人工角膜植入术后的视觉功能和解剖结构保留情况。所有患者长期保留了该装置，视觉功能良好。1例患者出现了人工角膜后膜，另1例患者在人工角膜前表面出现了上皮唇。植入眼的视力范围为20/25至20/80。
波士顿I型人工角膜在AK多次移植失败后取得了良好的解剖和功能结果。
Zotero 插件
