Use of RGP lens as Temporary Keratoprosthesis in Open-Sky Technique for Heterotopic Autokeratoplasty

PURPOSE To present a case of combined procedure heterotopic autokeratoplasty and ECCE with posterior chamber intraocular lens (IOL) implantation, to demonstrate the novel use an RGP as safe, cost-effective alternative temporary keratoprosthesis. REPORT OF CASE A 65/F presented blindness, OS from glaucoma but clear cornea, corneal decompensation cataract in OD good visual potential. Heterotopic was performed due scarcity allografts high-risk nature case, IOL implantation opacity. Temporary keratoprosthesis (TKP) (such Eckardt Landers models) substituted lower cost accessibility. Pre-placement two polyglactin perpendicular mattress sutures episclera at horizontal vertical positions done left untied. Next, trephination using 8-mm vacuum trephine, followed by instillation oculoviscosurgical device (OVD) placement 10-mm diameter over open globe, secured place tying pre-placed overlying cross sutures. Then, right similar-sized trephine proceeded. Cataract extracted open-sky technique bag implantation. The button then transplanted vice-versa. Postoperatively, VA improved hand motions 10/200 (Day 1). graft remained 4 weeks post-op further improvement VA. IOP maintained below 15 mmHg. CONCLUSION is valid option for unilateral cornea blind patients who have corneas fellow eye no This useful countries where transplantation costly, especially during time pandemic when are scarce. In our experience, it can be safely safe