Офтальмохирургия (Apr 2013)
The history of keratoprosthetics in the S. Fyodorov Eye Microsurgery Federal State Institution
Abstract
ABSTRACT The article highlights a 45-year experience in keratoprosthetics at the S. Fyodorov Eye Microsurgery Federal State Institution. During this period, more than 1,000 keratoprostheses of different types has been implanted. The design features, advantages and disadvantages of foreign keratoprosthesis – Choyce-1, Choyce-2, H. Cardona «bolt-nut», which were used in the clinic in the first stages of prosthetics of the cornea, are described. There are presented the basic requirements for penetrating keratoprosthesis, which inspired the creation of the own original models of corneal prostheses: Fyodorov-Zuev, Moroz-Glazko, «Mesh», biokeratoprosthesis. This article describes surgical techniques of implantation of various keratoprostrhesis designs in case of thin, irregular leucomas using the method of simultaneous penetrating keratoplasty and keratoprosthesis – the transplantation of corneal-prosthetic complex. Intra- and postoperative complications are mentioned as well as methods of their prophylaxis and management. In the paper there are also noted different operations performed simultaneously with keratoprosthesis.
