Skip Navigation LinksHome > May 2013 - Volume 39 - Issue 3 > Stromal Melting Associated With a Cosmetic Contact Lens Over...
Eye & Contact Lens: Science & Clinical Practice:
doi: 10.1097/ICL.0b013e31824daad2
Case Report

Stromal Melting Associated With a Cosmetic Contact Lens Over a Boston Keratoprosthesis: Treatment With a Conjunctival Flap

Adesina, Ore-ofe O. M.D.; Vickery, Jean A. F.C.L.S.A.; Ferguson, Carri L. F.C.L.S.A.; Stone, Donald U. M.D.

Collapse Box

Abstract

Objectives:

The aim was to discuss the use of a conjunctival flap for treatment of keratolysis of a keratoprosthesis (Kpro) donor graft in a patient fitted with a cosmetic contact lens.

Methods:

Keratolysis developed in the donor graft of a Boston Kpro; this was associated with the use of a cosmetic contact lens. A conjunctival flap was used to stabilize the graft. The literature is reviewed for similar cases, and the rationale for the intervention is described and discussed.

Results:

Reinforcement of the graft with a conjunctival flap resulted in an arrest in stromal melting and stabilization of visual acuity.

Conclusions:

Low Dk opaque contact lenses may be a risk factor for keratolysis after Kpro. A conjunctival flap technique can provide stabilization of keratolysis with arrest of corneal melting and merits further study.

© 2013 Contact Lens Association of Ophthalmologists

Login

Search for Similar Articles
You may search for similar articles that contain these same keywords or you may modify the keyword list to augment your search.