Citation

Zarei-Ghanavati M, Vasquez-Perez A, Shalaby Bardan A, Liu C. J. Curr. Ophthalmol. 2019; 31(2): 238-241.

Affiliation

Tongdean Eye Clinic, Hove, United Kingdom.

Copyright

(Copyright © 2019, Iranian Society of Ophthalmology, Publisher Elsevier Publishing)

DOI

10.1016/j.joco.2018.09.006

PMID

31317108

PMCID

PMC6611859

Abstract

PURPOSE: To present our experience in Osteo-odonto-keratoprosthesis (OOKP) as the only option to restore vision after severe ocular dog bite injuries.

METHODS: We describe our results in OOKP performed in two patients with previous severe dog bite facial injuries that required exenteration of one eye and facial reconstruction.

RESULTS: Both cases achieved initially successful anatomical and visual outcome; however, one case suffered retinal detachment after one year. Buccal mucosa (BM) ulcerations and tilted lamina were present as a result of extraocular muscles loss, and both were difficult to treat.

CONCLUSION: OOKP has the capability to restore vision in the most challenging cases of ocular trauma; however, refractory BM ulcerations and tilted lamina could be expected as a result of an ischemic ocular surface and orbital pulleys loss.

Language: en

Keywords

Dog bite ocular injury; Keratoprosthesis; Osteo-odonto-keratoprosthesis