Dr.Lional Raj D
Purpose: To demonstrate the efficacy of cross linking of donor corneas in resisting post operative infections and melts in Boston Type 1 Keratoprosthesis in eyes OSD
Methods: A conventional epi off CXL was performed with riboflavin and UV light, in a de-epithelialized donor cornea mounted on an artificial anterior chamber, subsequently the cornea is used as a carrier for Boston Type 1 keratoprosthesis, and transplanted in eyes with OSD and multiple failed corneal grafts. The patients were followed up for corneal integrity to resist infection and corneal melts, which are common following Boston Keratoprosthesis and especially in cases of OSD
Results: 3 cases, follow-up of 18 months. All 3 eyes were healthy in resisting long term post op infections and corneal melts
Conclusions: Cross linking of donor cornea before Boston Type 1 Keratoprosthesis with Riboflavin and UV rays is effective in improving long term post operative strength and outcome of corneas, especially in cases of OSD
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