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Cornea Articles

The osteo-odonto-keratoprosthesis (OOKP) is associated with the greatest long-term anatomical and functional success among the different approaches available. However, like all keratoprostheses, the OOKP has limitations. In particular, the complexity of the multi-staged surgery, its cost, and the need for harvesting tooth and bone are major obstacles to its more widespread use. 

Ocular surface reconstruction using expanded limbal stem cell culture combined with penetrating keratoplasty can restore good vision even in some cases with severe acid burns, said Merce Morral MD, PhD, Barcelona, Spain at the 19th ESCRS Winter Meeting in Istanbul, Turkey.
“Eyes with total limbal stem cell deficiency require several steps to restore good visual acuity,” Dr Morral added.

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Recent clinical trials of topically administrated nerve growth factor (NGF) demonstrate that the ocular surface healing and immune-modulating actions of NGF could have widespread therapeutic applications in a wide range of ocular diseases, according to Paolo Rama MD.

The possibility that the incidence of herpes zoster-related disease may be increasing is focusing attention on the value of prevention using the herpes zoster vaccine (Zostavax), according to Marc Labetoulle MD.
Dr Labetoulle, professor of ophthalmology, Hôpital Bicêtre, University of Paris-Sud, Paris, France, provided an update on the epidemiology, prevention and treatment of herpes zoster ophthalmicus (HZO) at the 5th EuCornea Congress in London.

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In the ongoing debate over which endothelial keratoplasty procedure corneal surgeons should perform, Massimo Busin MD is taking the middle ground.

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Because glaucoma is the most significant vision-threatening complication following Boston Keratoprosthesis Type 1 (B-KPro) surgery, it requires careful preoperative evaluation and postoperative follow-up, said Elena Arrondo MD at the 5th EuCornea Congress in London, UK.

Topography-guided and wavefront-guided customised laser treatments complement each other well in the customised treatment of irregular corneas, according to Michael C Knorz MD, University Hospital Mannheim, Germany.
“Topography-guided ablations perform best in the regularisation of highly irregular surfaces, and wavefront-guided ablations perform best in the correction of smaller irregularities and in the fine-tuning of the refractive result,” Dr Knorz told the XXXII Congress of the ESCRS in London. 

Compared with the rapid adoption of DSAEK (Descemet stripping automated endothelial keratoplasty), corneal surgeons are still struggling with the decision of whether or not to adopt DMEK (Descemet membrane endothelial keratoplasty). Speaking at the 5th EuCornea Congress in London, Sadeer B Hannush MD described how he finally decided to include DMEK in his practice.

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