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Boston type 1 keratoprosthesis from patient selection through postoperative management: a review for the keratoprosthetic surgeon

Authors Williamson S, Cortina MS

Received 21 September 2015

Accepted for publication 17 November 2015

Published 14 March 2016 Volume 2016:10 Pages 437—443

DOI https://doi.org/10.2147/OPTH.S83677

Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Dr Pelin Ozyol

Peer reviewer comments 3

Editor who approved publication: Dr Scott Fraser


Samantha L Williamson,1 M Soledad Cortina2

1Department of Ophthalmology, Kaiser Permanente Mid-Atlantic Medical Group, Baltimore, MD, USA; 2Department of Ophthalmology and Visual Sciences, University of Illinois Eye and Ear Infirmary, Chicago, IL, USA

Abstract: For the anterior segment surgeon, the implantation of Boston type 1 keratoprosthesis is a multistep process that begins with careful patient selection. Success depends on thorough preoperative evaluation, detailed surgical planning, and frequent postoperative follow-up. New practice patterns have emerged for each of these phases as the international experience with keratoprosthesis grows. This review details special considerations that can improve outcomes and also allow surgeons to consider its use in challenging patient populations at each step.

Keywords: Keratoprosthesis, aniridia, ocular cicatricial pemphigoid, Stevens–Johnson syndrome

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