CONTACT LENS MODIFICATIONS FOR BOSTON KERATOPROSTHESIS NOVEL CASE REPORT AND REVIEW OF THE LITERATURE
Main Article Content
Abstract
Boston Keratoprosthesis Type 1 (KPro), an artificial cornea, is a therapeutic option for patients in need of corneal transplantation when the prognosis of traditional keratoplasty is guarded. Bandage contact lens wear is essential in the post-operative management of KPro eyes in order to maintain adequate corneal graft hydration, and minimize the risk of adverse complications. Suitable bandage contact lens selection is imperative to preserve keratoprosthesis function, and customized modifications of contact lens parameters may be necessary to ensure adequate fitting. The available contact lens options, modifications, and protocols for the continued care of Boston Keratoprosthesis are discussed. A simple, yet unreported modification for contact lenses fit over KPro eyes in the setting of ocular surface irregularities is proposed, which may hold clinical utility when fitting keratoprosthesis patients with scleral elevations and glaucoma filtration
devices.
Downloads
Download data is not yet available.
Article Details
How to Cite
1.
Cherny C, Sherman S, Trief D. CONTACT LENS MODIFICATIONS FOR BOSTON KERATOPROSTHESIS: NOVEL CASE REPORT AND REVIEW OF THE LITERATURE. JCLRS [Internet]. 2022Nov.3 [cited 2024Apr.20];6(1):e9-e17. Available from: http://www.jclrs.org/index.php/JCLRS/article/view/50
Section
Case Report
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Copyright of articles published in all DPG titles is retained by the author(s). The author(s) grants DPG the rights to publish the article and identify itself as the original publisher. The author grants DPG exclusive commercial rights to the article. The author grants any party the rights to use the article freely for non-commercial purposes provided that the original work is properly cited.
References
1. Thomas M, Shorter E, Joslin CE, McMahon TJ, Cortina MS. Contact lens use in patients with Boston Keratoprosthesis Type 1: Fitting, management, and complications. 2015;41:334-340. https://doi.org/10.1097/ICL.0000000000000154
2. Nau AC, Drexler S, Dhaliwal DK, Mah F, Raju L, Deschler E. Contact lens fitting and long-term management for the Boston keratoprosthesis. Eye Contact Lens 2014;40:185-189. https://doi.org/10.1097/ICL.0000000000000021
3. Huh ES, Aref AA, Vajaranant TS, de la Cruz K, Chau FY, Cortina MS. Outcomes of pars plana glaucoma drainage implant in Boston type 1 keratoprosthesis surgery. J Glaucoma 2014;23:e39-e44. https://doi.org/10.1097/IJG.0b013e31829e55f8
4. Harissi-Dagher M, Beyer J, Dohlman CH. The role of soft contact lenses as an adjunct to the Boston keratoprosthesis. Int Ophthalmol Clin 2008;48:43-51. https://doi.org/10.1097/IIO.0b013e318169511f
5. Dohlman CH, Dudenhoefer EJ, Khan BF Morneault S. Protection of the ocular surface after keratoprosthesis surgery: the role of soft contact lenses. CLAO J 2002;2872-74.
6. Oh DJ, Michael R, Vajaranant T, Cortina MS, Shorter E. Resolution of an exposed pars plana Baerveldt shunt in a patient with a Boston keratoprosthesis type 1 without surgery. Ther Adv Ophthalmol 2019;11. https://doi.org/10.1177/2515841419868559
7. Beyer J, Todani A, Dohlman C. Prevention of visually debilitating deposits on soft contact lenses in keratoprosthesis patients. Cornea 2011;30:1419-1422. https://doi.org/10.1097/ICO.0b013e31821f183a
8. Kammerdiener LL, Speiser JL, Aquavella JV, Harissi-Dagher M, Dohlman CH, Chodosh J, et al. Protective effect of soft contact lenses after Boston keratoprosthesis. Br J Ophthalmol 2016;100:549-552. https://doi.org/10.1136/bjophthalmol-2014-306396
9. Dohlman C, Cruzat A, White M. The Boston keratoprosthesis 2014: a step in the evolution of artificial corneas. Spektrum Augenheilkd 2014;28:226-233. https://doi.org/10.1007/s00717-014-0240-7
10. Kim MJ, Yu F, Aldave AJ. Microbial keratitis after Boston type I keratoprosthesis implantation: incidence, organisms, risk factors, and outcomes. Ophthalmology 2013; 120:2209-2216. https://doi.org/10.1016/j.ophtha.2013.05.001
11. Lekhanont K, Jongkhajornpong P, Chuephanich P, Inatomi T, Kinoshita S. Boston Type 1 Keratoprosthesis for gelatinous drop-like corneal dystrophy. Optom Vis Sci 2016;93:640-646. https://doi.org/10.1097/OPX.0000000000000835
12. Kruh JN, Kruh-Garcia NA, Foster CS. Evaluation of the Effect of n-acetylcysteine on protein deposition on contact lenses in patients with the Boston Keratoprosthesis Type I. J Ocul Pharmacol Ther 2015;31:314-322. https://doi.org/10.1089/jop.2015.0010
13. Rai R, Shorter E, Cortina MS, McMahon T, de la Cruz J. Contact lens surveillance cultures in Boston type 1 keratoprosthesis patients. Eye Contact Lens 2013;39:175-178. https://doi.org/10.1097/ICL.0b013e31827aff8f
14. Keating A, Pineda R 2nd. Trichosporon asahii keratitis in a patient with a type I Boston keratoprosthesis and contact lens. Eye Contact Lens 2012;38:130-132. https://doi.org/10.1097/ICL.0b013e31822c3703
15. Chan CC, Holland EJ. Infectious endopthalmitis after Boston type 1 keratoprosthesis implantation. Cornea 2012;31:346-349. https://doi.org/10.1097/ICO.0b013e31821eea2f
16. Basu S, Taneja M, Narayanan R, Senthil S, Sangwan VS. Short-term outcome of Boston Type 1 keratoprosthesis for bilateral limbal stem cell deficiency. Indian J Ophthalmol 2012;60:151-153. https://doi.org/10.4103/0301-4738.94060
17. Aldave AJ, Kamal KM, Vo RC, Yu F. The Boston type I keratoprosthesis: improving outcomes and expanding indications. Ophthalmology 2009;116:640-651. https://doi.org/10.1016/j.ophtha.2008.12.058
18. Hue J, Jasani A, Park S, Libassi D, Schuettenberg S. Cosmetic contact lens fitting and optometric management following Boston Type 1 Keratoprosthesis implantation (abstract). 2013. American Academy of Optometry. Seattle, WA.
19. Shorter E, Joslin C, McMahon T, de la Cruz J, Cortina MS. Bandage CL fitting characteristics and complications in patients with Boston Type I keratoprosthesis surgery. Invest Ophthalmol Vis Sci 2013;54:3464.
20. Williamson SL, Cortina MS. Boston type 1 keratoprosthesis from patient selection through postoperative management: a review for the keratoprosthetic surgeon. Clin Ophthalmol 2016;10:437-443. https://doi.org/10.2147/OPTH.S83677
21. Chew HF, Ayres BD, Hammersmith KM, Rapuano CJ, Laibson PR, Myers JS, et al. Boston keratoprosthesis outcomes and complications. Cornea 2009;28:989-996. https://doi.org/10.1097/ICO.0b013e3181a186dc
22. Cherny C, Watts A. 2022. Management of Boston Keratoprosthesis with Hybrid Contact Lens Wear and Epithelial Debridement. Global Specialty Lens Symposium. Las Vegas, NV.
23. Cortina MS, De la Cruz J. Keratoprostheses and artificial corneas fundamentals and surgical applications. New York, NY, Springer, 2014. https://doi.org/10.1007/978-3-642-55179-6
24. Vajaranant TS, Liu J, Wilensky J, Cortina MS, Aref AA. Innovative approaches to glaucoma management of Boston keratoprosthesis type 1. Curr Ophthalmol Rep 2016;4:147-153. https://doi.org/10.1007/s40135-016-0102-3
25. Scotto R, Vagge A, Traverso CE. Corneal graft dellen in a patient implanted with a Boston keratoprosthesis type 1. Int Ophthalmol 2017;37:263-266. https://doi.org/10.1007/s10792-016-0227-2
26. Davies E, Chodosh J. Infections after keratoprosthesis. Curr Opin Ophthalmol 2016;27:373-377. https://doi.org/10.1097/ICU.0000000000000270
2. Nau AC, Drexler S, Dhaliwal DK, Mah F, Raju L, Deschler E. Contact lens fitting and long-term management for the Boston keratoprosthesis. Eye Contact Lens 2014;40:185-189. https://doi.org/10.1097/ICL.0000000000000021
3. Huh ES, Aref AA, Vajaranant TS, de la Cruz K, Chau FY, Cortina MS. Outcomes of pars plana glaucoma drainage implant in Boston type 1 keratoprosthesis surgery. J Glaucoma 2014;23:e39-e44. https://doi.org/10.1097/IJG.0b013e31829e55f8
4. Harissi-Dagher M, Beyer J, Dohlman CH. The role of soft contact lenses as an adjunct to the Boston keratoprosthesis. Int Ophthalmol Clin 2008;48:43-51. https://doi.org/10.1097/IIO.0b013e318169511f
5. Dohlman CH, Dudenhoefer EJ, Khan BF Morneault S. Protection of the ocular surface after keratoprosthesis surgery: the role of soft contact lenses. CLAO J 2002;2872-74.
6. Oh DJ, Michael R, Vajaranant T, Cortina MS, Shorter E. Resolution of an exposed pars plana Baerveldt shunt in a patient with a Boston keratoprosthesis type 1 without surgery. Ther Adv Ophthalmol 2019;11. https://doi.org/10.1177/2515841419868559
7. Beyer J, Todani A, Dohlman C. Prevention of visually debilitating deposits on soft contact lenses in keratoprosthesis patients. Cornea 2011;30:1419-1422. https://doi.org/10.1097/ICO.0b013e31821f183a
8. Kammerdiener LL, Speiser JL, Aquavella JV, Harissi-Dagher M, Dohlman CH, Chodosh J, et al. Protective effect of soft contact lenses after Boston keratoprosthesis. Br J Ophthalmol 2016;100:549-552. https://doi.org/10.1136/bjophthalmol-2014-306396
9. Dohlman C, Cruzat A, White M. The Boston keratoprosthesis 2014: a step in the evolution of artificial corneas. Spektrum Augenheilkd 2014;28:226-233. https://doi.org/10.1007/s00717-014-0240-7
10. Kim MJ, Yu F, Aldave AJ. Microbial keratitis after Boston type I keratoprosthesis implantation: incidence, organisms, risk factors, and outcomes. Ophthalmology 2013; 120:2209-2216. https://doi.org/10.1016/j.ophtha.2013.05.001
11. Lekhanont K, Jongkhajornpong P, Chuephanich P, Inatomi T, Kinoshita S. Boston Type 1 Keratoprosthesis for gelatinous drop-like corneal dystrophy. Optom Vis Sci 2016;93:640-646. https://doi.org/10.1097/OPX.0000000000000835
12. Kruh JN, Kruh-Garcia NA, Foster CS. Evaluation of the Effect of n-acetylcysteine on protein deposition on contact lenses in patients with the Boston Keratoprosthesis Type I. J Ocul Pharmacol Ther 2015;31:314-322. https://doi.org/10.1089/jop.2015.0010
13. Rai R, Shorter E, Cortina MS, McMahon T, de la Cruz J. Contact lens surveillance cultures in Boston type 1 keratoprosthesis patients. Eye Contact Lens 2013;39:175-178. https://doi.org/10.1097/ICL.0b013e31827aff8f
14. Keating A, Pineda R 2nd. Trichosporon asahii keratitis in a patient with a type I Boston keratoprosthesis and contact lens. Eye Contact Lens 2012;38:130-132. https://doi.org/10.1097/ICL.0b013e31822c3703
15. Chan CC, Holland EJ. Infectious endopthalmitis after Boston type 1 keratoprosthesis implantation. Cornea 2012;31:346-349. https://doi.org/10.1097/ICO.0b013e31821eea2f
16. Basu S, Taneja M, Narayanan R, Senthil S, Sangwan VS. Short-term outcome of Boston Type 1 keratoprosthesis for bilateral limbal stem cell deficiency. Indian J Ophthalmol 2012;60:151-153. https://doi.org/10.4103/0301-4738.94060
17. Aldave AJ, Kamal KM, Vo RC, Yu F. The Boston type I keratoprosthesis: improving outcomes and expanding indications. Ophthalmology 2009;116:640-651. https://doi.org/10.1016/j.ophtha.2008.12.058
18. Hue J, Jasani A, Park S, Libassi D, Schuettenberg S. Cosmetic contact lens fitting and optometric management following Boston Type 1 Keratoprosthesis implantation (abstract). 2013. American Academy of Optometry. Seattle, WA.
19. Shorter E, Joslin C, McMahon T, de la Cruz J, Cortina MS. Bandage CL fitting characteristics and complications in patients with Boston Type I keratoprosthesis surgery. Invest Ophthalmol Vis Sci 2013;54:3464.
20. Williamson SL, Cortina MS. Boston type 1 keratoprosthesis from patient selection through postoperative management: a review for the keratoprosthetic surgeon. Clin Ophthalmol 2016;10:437-443. https://doi.org/10.2147/OPTH.S83677
21. Chew HF, Ayres BD, Hammersmith KM, Rapuano CJ, Laibson PR, Myers JS, et al. Boston keratoprosthesis outcomes and complications. Cornea 2009;28:989-996. https://doi.org/10.1097/ICO.0b013e3181a186dc
22. Cherny C, Watts A. 2022. Management of Boston Keratoprosthesis with Hybrid Contact Lens Wear and Epithelial Debridement. Global Specialty Lens Symposium. Las Vegas, NV.
23. Cortina MS, De la Cruz J. Keratoprostheses and artificial corneas fundamentals and surgical applications. New York, NY, Springer, 2014. https://doi.org/10.1007/978-3-642-55179-6
24. Vajaranant TS, Liu J, Wilensky J, Cortina MS, Aref AA. Innovative approaches to glaucoma management of Boston keratoprosthesis type 1. Curr Ophthalmol Rep 2016;4:147-153. https://doi.org/10.1007/s40135-016-0102-3
25. Scotto R, Vagge A, Traverso CE. Corneal graft dellen in a patient implanted with a Boston keratoprosthesis type 1. Int Ophthalmol 2017;37:263-266. https://doi.org/10.1007/s10792-016-0227-2
26. Davies E, Chodosh J. Infections after keratoprosthesis. Curr Opin Ophthalmol 2016;27:373-377. https://doi.org/10.1097/ICU.0000000000000270