Eye & Contact Lens

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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.

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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, Inc.


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