Osteo-odonto keratoprosthesis in Stevens-Johnson syndrome: a case report
Identifieur interne : 001A48 ( Pmc/Checkpoint ); précédent : 001A47; suivant : 001A49Osteo-odonto keratoprosthesis in Stevens-Johnson syndrome: a case report
Auteurs : Reddy Sc [Malaisie] ; Tajunisah I [Malaisie] ; Tan D. T [Singapour]Source :
- International Journal of Ophthalmology [ 2222-3959 ] ; 2011.
Abstract
To report a successful osteo-odonto keratoprosthesis (OOKP) procedure in a case of end stage of corneal blindness due to Stevens-Johnson syndrome (SJS).
An interventional case report.
We describe a 35-year-old Indian woman, a known case of SJS with bilateral dry eyes and corneal blindness (failed corneal graft with vascularised total corneal opacity in the right eye and non-healing corneal ulcer in the left eye). Vision was hand movement only in both eyes. The corneal ulcer healed with medical treatment resulting in vascularised total corneal opacity with no improvement in vision. OOKP was performed in the right eye and the vision was improved from hand movement to 6/6. The same vision was maintained in the right eye at the last follow-up 5 years after surgery.
OOKP provides good visual rehabilitation with long-term anatomically stable prosthesis in patients with end-stage of ocular surface disorders and corneal blindness secondary to SJS.
Url:
DOI: 10.3980/j.issn.2222-3959.2011.02.23
PubMed: 22553646
PubMed Central: 3340699
Affiliations:
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<series><title level="j">International Journal of Ophthalmology</title>
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<front><div type="abstract" xml:lang="en"><sec><title>AIM</title>
<p>To report a successful osteo-odonto keratoprosthesis (OOKP) procedure in a case of end stage of corneal blindness due to Stevens-Johnson syndrome (SJS).</p>
</sec>
<sec><title>METHODS</title>
<p>An interventional case report.</p>
</sec>
<sec><title>RESULTS</title>
<p>We describe a 35-year-old Indian woman, a known case of SJS with bilateral dry eyes and corneal blindness (failed corneal graft with vascularised total corneal opacity in the right eye and non-healing corneal ulcer in the left eye). Vision was hand movement only in both eyes. The corneal ulcer healed with medical treatment resulting in vascularised total corneal opacity with no improvement in vision. OOKP was performed in the right eye and the vision was improved from hand movement to 6/6. The same vision was maintained in the right eye at the last follow-up 5 years after surgery.</p>
</sec>
<sec><title>CONCLUSION</title>
<p>OOKP provides good visual rehabilitation with long-term anatomically stable prosthesis in patients with end-stage of ocular surface disorders and corneal blindness secondary to SJS.</p>
</sec>
</div>
</front>
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<front><journal-meta><journal-id journal-id-type="nlm-ta">Int J Ophthalmol</journal-id>
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<article-id pub-id-type="doi">10.3980/j.issn.2222-3959.2011.02.23</article-id>
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<title-group><article-title>Osteo-odonto keratoprosthesis in Stevens-Johnson syndrome: a case report</article-title>
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<contrib-group><contrib contrib-type="author"><name><surname>SC</surname>
<given-names>Reddy</given-names>
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<contrib contrib-type="author"><name><surname>T</surname>
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<addr-line>Department of Ophthalmology, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia</addr-line>
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<aff id="aff2"><label>2</label>
<addr-line>Corneal services department, Singapore National Eye Centre & Department of Ophthalmology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore</addr-line>
</aff>
<author-notes><corresp><bold>Correspondence to:</bold>
Reddy SC. Department of Ophthalmology, UCSI School of Medicine, Terengganu Campus, Bukit Khor, 21600 Marang, Terengganu, Malaysia. <email>profscreddy@gmail.com</email>
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<pub-date pub-type="epub"><day>18</day>
<month>4</month>
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<volume>4</volume>
<issue>2</issue>
<fpage>212</fpage>
<lpage>215</lpage>
<history><date date-type="received"><day>11</day>
<month>1</month>
<year>2011</year>
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<date date-type="accepted"><day>10</day>
<month>3</month>
<year>2011</year>
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<permissions><copyright-statement>International Journal of Ophthalmology Press</copyright-statement>
<copyright-year>2011</copyright-year>
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<abstract><sec><title>AIM</title>
<p>To report a successful osteo-odonto keratoprosthesis (OOKP) procedure in a case of end stage of corneal blindness due to Stevens-Johnson syndrome (SJS).</p>
</sec>
<sec><title>METHODS</title>
<p>An interventional case report.</p>
</sec>
<sec><title>RESULTS</title>
<p>We describe a 35-year-old Indian woman, a known case of SJS with bilateral dry eyes and corneal blindness (failed corneal graft with vascularised total corneal opacity in the right eye and non-healing corneal ulcer in the left eye). Vision was hand movement only in both eyes. The corneal ulcer healed with medical treatment resulting in vascularised total corneal opacity with no improvement in vision. OOKP was performed in the right eye and the vision was improved from hand movement to 6/6. The same vision was maintained in the right eye at the last follow-up 5 years after surgery.</p>
</sec>
<sec><title>CONCLUSION</title>
<p>OOKP provides good visual rehabilitation with long-term anatomically stable prosthesis in patients with end-stage of ocular surface disorders and corneal blindness secondary to SJS.</p>
</sec>
</abstract>
<kwd-group><kwd>osteo-odonto keratoprosthesis</kwd>
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<kwd>corneal blindness</kwd>
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