Publication: Vitrectomy using the Eckardt temporary keratoprosthesis
Issued Date
2020-09-01
Resource Type
ISSN
24519936
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2-s2.0-85085015481
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Mahidol University
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SCOPUS
Bibliographic Citation
American Journal of Ophthalmology Case Reports. Vol.19, (2020)
Suggested Citation
Supalert Prakhunhungsit, Nicolas A. Yannuzzi, Audina M. Berrocal Vitrectomy using the Eckardt temporary keratoprosthesis. American Journal of Ophthalmology Case Reports. Vol.19, (2020). doi:10.1016/j.ajoc.2020.100709 Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/56228
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Title
Vitrectomy using the Eckardt temporary keratoprosthesis
Other Contributor(s)
Abstract
© 2020 Purpose: to present the now vitrectomy technique through a limbus via preexisting holes in the Eckardt TKP. Methods: the surgical technique performed in a case of four-year-old girl presented with a complete hyphema and vitreous hemorrhage in the left eye. Results: the vitrectomy was performed vial a limbal approach from the TKP without making additional sclerotomies. The vitreous hemorrhage was evacuated, the hyaloid elevated, the periphery examined with an excellent widefield view without scleral depression, an air-fluid exchange performed, and the air exchanged for silicone oil. Finally, the TKP was replaced with a permanent graft. The surgical video was presented additionally. Conclusion and importance: Eckardt TKP allows for a limbal approach in aphakic or non-lens sparing vitrectomy surgery while maintaining a stable intraocular pressure, excellent peripheral and posterior access and while avoiding the need for pars plana sclerotomy placement which can be challenging in complex cases.