Use of PocketMaker Microkeratome for Creation of Corneal Pocket for Foldable Keratoprosthesis KeraKlear Implantation – Case Series



Pavel Studeny, Deli Krizova*, Pavel Kuchynka
Department of Ophthalmology of 3rd Medical Faculty and University Hospital Kralovske Vinohrady, Prague, Czech Republic


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© Studeny et al.; Licensee Bentham Open.

open-access license: This is an open access article licensed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.

* Address correspondence to this author at the Department of Ophthalmology of 3rd Medical Faculty and University Hospital Kralovske Vinohrady, Srobarova 50, 10034 Prague, Czech Republic; Tel: +420267162835; E-mail: deli.krizova@fnkv.cz


Abstract

Purpose :

To describe a surgical method for corneal pocket creation for KeraKlear keratoprosthesis implantation by PocketMaker microkeratome.

Methods :

We implanted keratoprosthesis KeraKlear in 3 patients. In all cases, we used a microkeratome PocketMaker to create a corneal pocket, where the incision was made at a depth of 300 µm with a vibrating diamond blade.

Results :

Although corneas have been extensively opaque and vascularized, in all three cases we successfully performed suction of the microkeratome system and created a corneal pocket without any difficulties. Subsequent keratoprosthesis implantations were performed without any problems.

Conclusion :

The technique is simple, relatively cheap, and the creation of the corneal pocket is possible even in patients with vascularized and opaque cornea.

Keywords: Corneal pocket, keratoprosthesis KeraKlear, PocketMaker.