Vitrectomy using the Eckardt temporary keratoprosthesis

Supalert Prakhunhungsit, Nicolas A. Yannuzzi, Audina M. Berrocal

Research output: Contribution to journalArticle

Abstract

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.

Original languageEnglish (US)
Article number100709
JournalAmerican Journal of Ophthalmology Case Reports
Volume19
DOIs
StatePublished - Sep 2020

Keywords

  • Eckardt temporary keratoprosthesis
  • Pediatric vitrectomy
  • Surgical technique
  • Temporary keratoprosthesis

ASJC Scopus subject areas

  • Ophthalmology

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