top | item 43209575

(no title)

smkelly | 1 year ago

Very curious why you'd take this approach over something like the Boston Keratoprosthesis (https://eyewiki.org/Boston_Type_1_Keratoprosthesis). With a history of cornea rejection, mine has been stable for almost 16 years.

discuss

order

johnmales|1 year ago

There are some circumstances where a keratoprosthesis won’t work, particularly if the eye has no tear production. OOKP is a good technique in some where they are blind in both eyes from severe ocular surface issues but the retina is still intact. It is very resource intensive and involves a number of subspecialty areas, and so is a last ditch effort for the bilaterally blind.

haskellandchill|1 year ago

From your link

> Many studies have shown the incidence of repair procedures and worse final vision outcomes were higher in groups with autoimmune conditions (SJS, OCP). The difference in outcomes appears to be related to the degree and cumulative past period of inflammation. Overall most favorable outcomes are achieved in non-cicatrizing conditions, followed by ocular burns and OCP with the worst outcomes in SJS patients.

The patient in the article was a SJS patient

> The massage therapist says he could see just fine until he was 13 years old, when he took some ibuprofen after a school basketball game, triggering a rare auto-immune reaction known as Stevens-Johnson syndrome.