Ophthalmology Update - Cleveland Clinic

lens. that technique has also been important in
reducing postoperative degradation of the cornea and
the prosthesis.
Based on dr. dohlman’s suggested postoperative
management scheme, patients who undergo keratoprosthesis
implantation at cole eye institute are
treated with routine topical antibiotics to prevent
infection.
“this strategy is somewhat controversial, but with its
use, the risk of endophthalmitis has been markedly
diminished,” dr. perez says.
comanagement of glaucoma is another important
consideration in these eyes. many patients have glaucoma
already or are at risk for developing it because
keratoprosthesis implantation changes the anatomy
of the angle. For that reason, an aggressive approach
to iOp control is taken with implantation of glaucoma
devices at the time of the keratoprosthesis procedure
in eyes with advanced existing glaucoma or those
considered to be at high risk.
i n v e s t i g a t i O n s
For more information,
contact Victor L. Perez, M.D.,
at perezv@ccf.org.
c O l e e y e i n s t i t U t e c l e v e l a n d c l i n i c . O r g / e y e //