PMID- 28441214
DCOM- 20170620
LR  - 20170620
IS  - 1531-7021 (Electronic)
IS  - 1040-8738 (Linking)
VI  - 28
IP  - 4
DP  - 2017 Jul
TI  - The osteo-odonto-keratoprosthesis.
PG  - 397-402
LID - 10.1097/ICU.0000000000000388 [doi]
AB  - PURPOSE OF REVIEW: To describe the practice of and recent developments in the
      osteo-odonto-keratoprosthesis. RECENT FINDINGS: Formal psychological assessment
      and support have been described. A sub-aqua system for fashioning the
      osteo-odonto-keratoprosthesis lamina; adoption of thicker laminae; use of
      bisphosphonate drugs; advances in laminar imaging; and use of bone augmentation
      and bone morphogenetic protein have been described for prevention, detection, and
      management of laminar resorption. Two systems of optical cylinders available
      commercially. A stepladder approach to buccal mucous membrane overgrowth onto the
      optical cylinder has been described, including use of mitomycin-C. Orbital
      decompression has been used for cosmetic improvement. Detection of glaucoma may
      be aided by an intraocular pressure sensor, whereas surgical treatment is mainly 
      by way of glaucoma drainage devices, as endolaser ciliary ablation and recti
      muscle disinsertion and reinsertion not having prolonged and significant
      long-term beneficial effect. Sublingual timolol has been described. The use of
      endoscopy has been proposed for preoperative evaluation of the posterior segment,
      ciliary ablation and for vitreoretinal surgery although wide-angle viewing
      systems remains standard practice. SUMMARY: The osteo-odonto-keratoprosthesis is 
      the procedure of choice for rehabilitation of corneal blindness for end-stage
      ocular surface disease, serving a completely different patient group to the
      Boston Type 1 KPro.
FAU - Zarei-Ghanavati, Mehran
AU  - Zarei-Ghanavati M
AD  - aSussex Eye Hospital, Brighton, UK bFarabi Eye Hospital, Tehran University of
      Medical Sciences, Tehran, Iran cBrighton and Sussex Medical School, Brighton
      dTongdean Eye Clinic, Hove, UK.
FAU - Avadhanam, Venkata
AU  - Avadhanam V
FAU - Vasquez Perez, Alfonso
AU  - Vasquez Perez A
FAU - Liu, Christopher
AU  - Liu C
LA  - eng
PT  - Journal Article
PT  - Review
PL  - United States
TA  - Curr Opin Ophthalmol
JT  - Current opinion in ophthalmology
JID - 9011108
SB  - IM
MH  - Alveolar Process/*transplantation
MH  - Cornea/*surgery
MH  - Corneal Diseases/*surgery
MH  - Humans
MH  - Mucous Membrane/transplantation
MH  - *Prostheses and Implants
MH  - Prosthesis Implantation/*methods
MH  - Tooth Root/*transplantation
EDAT- 2017/04/26 06:00
MHDA- 2017/06/21 06:00
CRDT- 2017/04/26 06:00
PHST- 2017/04/26 06:00 [pubmed]
PHST- 2017/06/21 06:00 [medline]
PHST- 2017/04/26 06:00 [entrez]
AID - 10.1097/ICU.0000000000000388 [doi]
PST - ppublish
SO  - Curr Opin Ophthalmol. 2017 Jul;28(4):397-402. doi: 10.1097/ICU.0000000000000388.