Ookp procedure in a case of end stage of corneal blindness due to stevensjohnson syndrome. Osteoodontokeratoprosthesis for endstage cornea blindness. Methodswe describe a modification of the osteoodontokerat. Osteoodontokeratoprosthesis a maxillofacial perspective.
The ubr university of brighton repository is a central institutional repository that records the work of the universitys researchers. There are, however, some patients who are not amenable to such transplantation. A new vision through combined osteoodontokeratoplasty. To report the results of osteo odonto keratoprosthesis ookp surgery in patients who sustained severe chemical and thermal injuries. Osteoodonto keratoprosthesis is one of the most successful forms of keratoprosthesis surgery for endstage corneal and ocular surface disease. This article is within the scope of wikiproject medicine, which recommends that medicinerelated articles follow the manual of style for medicinerelated articles and that biomedical information in any article use highquality medical sources. It is a specialist surgical intervention that can restore meaningful vision to patients suffering from end stage corneal blindness, and for whom conventional corneal surgery is not possible for reasons such as severe dry eyes causing heavy scarring of the cornea. An artificial cornea used as a last resource to restore vision to people whose corneas have been rendered opaque by dryeye disease or chemical injury that precludes successful corneal grafting. Osteoodontokeratoprosthesis in severe thermal and chemical. Osteoodonto keratoprosthesis american academy of ophthalmology. This was not true as the technique of ookp was invented by the late benedetto. Osteoodontokeratoprosthesis operation restors vision huliq. You have free access to this content the role of visual evoked potential and electroretinography in the preoperative assessment of osteokeratoprosthesis or osteoodontokeratoprosthesis surgery. Keratoprosthesis ookp, which is a two stage procedure whereby dental and buccal tissue is auto transplanted into eye to serve as a synthetic cornea.
The window of the soul is our eye and the window of the eye is cornea. Endoscopic cyclophotocoagulation for refractory glaucoma after ookp. To report a successful osteoodonto keratoprosthesis. Final appearance of an osteoodonto keratoprosthesis. Endoscopic cyclophotocoagulation for refractory glaucoma. The osteoodontokeratoprosthesis ookp, although described over 40 years ago, remains the keratoprosthesis of choice for endstage corneal blindness not amenable to penetrating keratoplasty. Of these, the boston keratoprosthesis and osteo odonto keratoprosthesis ookp are the two most commonly used keratoprostheses. The osteoodontokeratoprosthesis ookp stevens johnson. Modified osteoodontokeratoprosthesis treatment mookp in. The operation, known as osteo odonto keratoprosthesis, was recently performed twice at sydney eye hospital, with one of the procedures being carried out on 72yearold goulburn man john ings. Get a printable copy pdf file of the complete article 564k, or click on a page image below to browse page by page. Editor,we wish to point out some inaccuracies portrayed by the media on osteoodontokeratoprosthesis ookp surgery offered at our hospital. Modified osteoodontokeratoprosthesis mookp what is it. Abstract the osteoodontokeratoprosthesis ookp, although described over 40 years ago, remains the keratoprosthesis of choice for endstage corneal blindness not amenable to penetrating keratoplasty.
The lens may be implanted after normal corneal grafting has failed. Med j malaysia vol 66 no 4 october 2011 369 osteoodontokeratoprosthesis for endstage cornea blindness h s wong, k y then, r ramli department of ophthalmology, department of oral and maxillofacial, university kebangsaan malaysia medical centre, jalan. To report a successful osteo odonto keratoprosthesis ookp procedure in a case of end stage of corneal blindness due to stevensjohnson syndrome sjs. Defintion keratoprosthesis is a surgical procedure where a severely damaged or diseased cornea is replaced with an artificial cornea to restore useful vision or to make the eye comfortable in painful keratopathy. Apr 30, 2016 osteo odonto keratoprosthesis ookp is a surgical procedure for replacing severe damaged corneas when corneal transplant is impossible and giving sight back. Preservativefree medications are usually preferred because of the presence of contact lens. Osteo odonto keratoprosthesis ookp also known as tooth in eye surgery is a medical procedure to restore vision in the most severe cases of corneal and ocular surface patients. Med j malaysia vol 66 no 4 october 2011 369 osteo odonto keratoprosthesis for endstage cornea blindness h s wong, k y then, r ramli department of ophthalmology, department of oral and maxillofacial, university kebangsaan malaysia medical centre, jalan. Apr 18, 2011 to report a successful osteo odonto keratoprosthesis ookp procedure in a case of end stage of corneal blindness due to stevensjohnson syndrome sjs. Wendy hamriding talks about osteo odonto keratoprothesis and how she can see for the first time in 2 years. Sir, osteo odonto keratoprosthesis ookp, also known as tooth in eye surgery, is a unique form of artificial cornea surgery to restore.
Osteo odonto keratoprosthesis ookp gold coast oral. Summary the osteo odonto keratoprosthesis is the procedure of choice for rehabilitation of corneal blindness for endstage ocular surface disease, serving a completely different patient group to. Osteoodontokeratoprosthesis ookp surgery is a technique used to replace damaged. The keratoprosthesis with the best success rate till date is the osteo odonto keratoprosthesis ookp. We implanted a osteo odonto keratoprosthesis consisting of a pmmacylinder of 8 mm length and of 3 mm respectively 3,5 mm in diameter and a root of a tooth of the patients in their cornea covered with buccal mucosa. Osteonodontokeratoprosthesis surgery british journal of. Jun 27, 2012 the revolutionary osteoodontokeratoprosthesis procedure, illustrated by stephen f. Osteoodontokeratoprosthesis ookp or toothineye surgery, the original technique was described by benedetto strampelli nearly fifty years ago, using the patients own tooth root and alveolar bone as vital support to an optical cylinder, for patients with the most severe type of corneal and ocular surface diseases, for whom other treatments would not be useful. The implants are well incorporated with a visual acuity between 0. Modified osteoodontokeratoprosthesis for treatment of. Initial results showed good biointegration of the fibronectincoated haptic, cell free transparency of the optic and suitability for fibronectincoated haptic, cell free.
Osteoodontokeratoprosthesis procedure, artwork by stephen f. In 2016, dr webber became the first oral and maxillofacial surgeon in australia, and the southern hemisphere, to perform the surgical procedure known as osteo odonto keratoprosthesisookp or tooth in eye surgery. Longterm functional and anatomical results of osteo and. We describe a 35yearold indian woman, a known case of sjs with bilateral. Osteoodontokeratoprosthesis ookp is a technique used to replace damaged corneae in blind patients for whom cadaveric corneal transplantation is not an option. The boston keratoprosthesis was developed for patients with visual potential that have a high likelihood failure with traditional corneal transplantation. Comparison of candidate materials for a synthetic osteoodonto. Since the introduction of kpro over 200 years ago, numerous designs and techniques have been suggested. Osteoodontokeratoprosthesis ookp is a surgical procedure for replacing severe damaged corneas when corneal transplant is impossible and giving sight back. Osteoodontokeratoprosthesis ookp instructional video. Osteoodonto keratoprosthesis ookp for patients with. Corneal diseases are among the major causes of global blindness, secondary to cataract.
Cadaveric corneal transplantation is generally successful for reversing corneal blindness. This is drilled and a plastic lens cemented into the hole. Msn encartas definition of osteo odonto keratoprosthesis. Osteoodontokeratoprosthesis definition of osteoodonto. To analyse the functional and anatomical results of keratoprosthesis using tooth and tibial autograft.
D12shssc 2014 nhs standard contract for osteoodonto. Modified osteoodontokeratoprosthesis technique step 2. Full text is available as a scanned copy of the original print version. Mookp and boston keratoprosthesis are equally advised at our center with the choice of the keratoprosthesis depending on the indication, moistness of the eye, lid condition and state of dental hygiene. Until now there has been no educational video for this complicated procedure. Editor,we wish to point out some inaccuracies portrayed by the media on osteo odonto keratoprosthesis ookp surgery offered. It is an operation that restores vision in the most severe cases of corneal scarring causing secondary blindness.
The revolutionary osteo odonto keratoprosthesis procedure, illustrated by stephen f. The osteoodontokeratoprosthesis ookp, although described over 40 years ago, remains the keratoprosthesis of choice for endstage. This necessitated a carrier for the artificial cornea that would reduce the incidence of complications encountered with the other types of keratoprosthesis namely extrusion, foreign body reaction and risk of infection liu et al. Article information, pdf download for chondrokeratoprosthesis. Osteoodontokeratoprosthesis ookp is a medical procedure to restore vision in the most severe cases of corneal and ocular surface patients. Osteo odonto keratoprosthesis ookp is often the sole and last treatment option for visual rehabilitation in severe corneal blindness. In 1996, we performed our first ookp operation that was televised as a bbc tomorrows world programme. The role of visual evoked potential and electroretinography. Aug 24, 2016 keratoprosthesis kpro has revolutionized the treatment of patients with severe corneal diseases who do not benefit from allogeneic corneal transplantation.
Borderline heterocyclic chemistry joule pdf download. Osteoodonto keratoprosthesis in stevensjohnson syndrome. Ookp is a complex artificial corneakeratoprosthetic surgical procedure in which a dental root lamina and buccal mucosal graft are used to. B, removal of a corneal central fullthickness disc of a diameter corresponding to the polymethyl methacrylate optical cylinders intraocular diameter. It was developed some 40 years ago in italy and uses the patients own tooth root and alveolar bone to support an optical cylinder. These figures are far below the survival rates of the osteo odonto keratoprosthesis ookp when deployed in similar patients with severe end stage ocular. In the programme, the operation was described as new. This is a noncomparative retrospective case series of 14 patients who underwent ookp surgery between 2001 and 2016 at the sussex eye hospital, brighton, uk, because of severe chemical and thermal injuries. Indications for temporary keratoprosthesis, anatomical and. Since the first performance of osteo odonto keratoprosthesis ookp surgery,1, 2 the technique has been modified and used in many centers around the world.