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Abstract #125577 Published in IGR 25-2
Lucia Keratoprosthesis in a Sclerocorneal Graft for Recurrent Graft Rejection Secondary to Herpetic Keratitis
Ortiz-Morales G; Serrano-Robles JG; Vera-Duarte GR; Rodríguez-Loaiza JL; Navas A; Ramirez-Miranda A; Graue-Hernández EOCornea 2025; 44: 659-661
PURPOSE: To report the surgical approach of a Lucia keratoprosthesis (KPro) on a sclerocorneal graft in the setting of recurrent graft rejection and perilimbal scleral thinning. METHODS: A case report. RESULTS: We report the case of a 26-year-old man with a history of herpes simplex keratitis, 2 penetrating keratoplasties, graft failure, secondary glaucoma, and a conjunctival flap in the right eye who underwent a Lucia KPro, lens extraction, glaucoma drainage device, and pars plana vitrectomy. The surgery involved releasing the conjunctival flap, revealing severe perilimbal scleral thinning. The use of a sclerocorneal graft to mount the Lucia KPro allowed an effective combined procedure by providing a healthy sclera. At the last follow-up (34 months), the patient had retained the Lucia KPro and had a best-corrected visual acuity of 20/400. CONCLUSIONS: The Lucia KPro on a sclerocorneal graft may be a viable option to provide healthy sclera in patients requiring combined KPro surgery.
Instituto de Oftalmologia Fundacion Conde de Valenciana IAP, Mexico City, Mexico .
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