Boston K-Pro retention in Stevens-Johnson syndrome can be improved

The most common indication for the Boston type 1 keratoprosthesis (Boston K-Pro) in most published series is repeat corneal transplant failure. Although the Boston K-Pro has been used for a wide variety of indications, some, such as Stevens-Johnson syndrome, are associated with less favorable outcomes, limiting the number of procedures performed. Complications after Boston K-Pro implantation in patients with cicatrizing conjunctivitis usually result from donor corneal stromal necrosis. Thus, we have modified our surgical technique when performing the Boston K-Pro in patients with cicatrizing conjunctivitis to cover the donor cornea (Read more...)