Nonstandard Treatment of Endophthalmitis after Osteo-Odonto Keratoprothesis

Introduction

We report on a 45-year-old woman who developed an endophthalmitis 7 days after an osteo-odonto keratoprosthesis (OOKP) procedure in her right eye.

OOKP is a procedure in end-stage cicatricial ocular surface diseases with corneal blindness not amenable to penetrating keratoplasty [1], [2]. It replaces the cornea with a construct consisting of an optical cylinder embedded in a carrier fashioned from an autologous canine tooth [1]. The most common indications for OOKP are severe cases of Stevens-Johnson syndrome, and burns (thermal and chemical) that were unamenable to other forms of surgery or had had previous surgical failure [3].

• References

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• 2 Liu C, Paul B, Tandon R. et al. The osteo-odonto-keratoprosthesis (OOKP). Semin Ophthalmol 2005; 20: 113-128 doi:10.1080/08820530590931386
• 3 Tan A, Tan DT, Tan XW. et al. Osteo-odonto keratoprosthesis: systematic review of surgical outcomes and complication rates. Ocul Surf 2012; 10: 15-25 doi:10.1016/j.jtos.2012.01.003
• 4 Hughes EH, Mokete B, Ainsworth G. et al. Vitreoretinal complications of osteoodontokeratoprosthesis surgery. Retina 2008; 28: 1138-1145 doi:10.1097/IAE.0b013e318174e10e