Universität zu Köln

Toth, Gabor ORCID: 0000-0002-9176-9442, Bucher, Franziska, Siebelmann, Sebastian, Bachmann, Bjoern, Hermann, Manuel, Szentmary, Nora, Nagy, Zoltan Zsolt and Cursiefen, Claus (2016). In Situ Corneal Cross-Linking for Recurrent Corneal Melting After Boston Type 1 Keratoprosthesis. Cornea, 35 (6). S. 884 - 888. PHILADELPHIA: LIPPINCOTT WILLIAMS & WILKINS. ISSN 1536-4798

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Abstract

Purpose:To present a new treatment modality for recurrent corneal melting in a patient with a Boston type I keratoprosthesis (B-KPro) including in situ corneal cross-linking (CXL) and lamellar keratoplasty (LKP) as combined treatment.Methods:Case report.Results:Our report concerns a 27-year-old man whose case history involved a severe chemical burn of his left eye. After failed penetrating keratoplasty and limbal stem cell transplantation, the patient underwent B-KPro implantation. Starting 1 month after surgery, recurrent corneal melting around the B-KPro developed, which was eventually treated by combining LKP, amniotic membrane transplantation, and in situ CXL. Optical coherence tomography imaging and follow-up for 12 months showed stable corneal healing without new melting or erosion. The ultraviolet A treatment did not seem to damage the material of the B-KPro.Conclusions:In situ CXL using riboflavin and ultraviolet A light combined with LKP and amniotic membrane transplantation can be an effective management option to treat recurrent corneal melting after B-KPro implantation.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Toth, Gabor UNSPECIFIED orcid.org/0000-0002-9176-9442 UNSPECIFIED Bucher, Franziska UNSPECIFIED UNSPECIFIED UNSPECIFIED Siebelmann, Sebastian UNSPECIFIED UNSPECIFIED UNSPECIFIED Bachmann, Bjoern UNSPECIFIED UNSPECIFIED UNSPECIFIED Hermann, Manuel UNSPECIFIED UNSPECIFIED UNSPECIFIED Szentmary, Nora UNSPECIFIED UNSPECIFIED UNSPECIFIED Nagy, Zoltan Zsolt UNSPECIFIED UNSPECIFIED UNSPECIFIED Cursiefen, Claus UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-273815
DOI:	10.1097/ICO.0000000000000830
Journal or Publication Title:	Cornea
Volume:	35
Number:	6
Page Range:	S. 884 - 888
Date:	2016
Publisher:	LIPPINCOTT WILLIAMS & WILKINS
Place of Publication:	PHILADELPHIA
ISSN:	1536-4798
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language KERATOLYSIS; RESISTANCE Multiple languages Ophthalmology Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/27381