[Temporary keratoprosthesis for surgery of severe injuries of ocular anterior and posterior segments].

OBJECTIVE

To evaluate the treatment of severe ocular injuries of anterior and posterior segments with temporary keratoprosthesis used in combined operations.

METHODS

With temporary keratoprosthesis a combined operation including pars plana vitrectomy, air-fluid exchange, silicone oil fill in, use of perfluorocarbon liquid, foreign body removal and partial penetrating keratoplasty was performed on 18 eyes of 18 patients with severe ocular injuries, and the postoperative changes and recovery were observed.

RESULTS

All eyes were rescued, the visual acuity was increased in 12 eyes, above 0.1 being in 5 eyes, retinal detachment recurred in 3 of 10 eyes, vitreous opacity was present in 1 eye, secondary glaucoma in 1 eye, and atrophy in 1 eye as its preoperative status.

CONCLUSION

Temporary keratoprosthesis used in the combined surgeries of anterior and posterior ocular segments is an effective method for treatment of severe ocular injuries.