Indications, Visual Outcomes and Complications of Boston Keratoprosthesis; a Systematic Review

Author(s): Mohammed Al Fayyadh, Majed Al Subaie, Abdullah Al Rajhi, Khalid Al Arfaj

Over many years the development in Boston keratoprosthesis (B-KPro) and its design and post-operative management has much improvement. Recently, the use of Boston has increased signify-cantly. It became a reasonable option for patients with corneal disease and poor prognosis for a traditional penetrating keratoplasty. Immune systems diseases, deep corneal vascularization, compound injuries or limbal stem-cell deficiencies (LSCD), the grafts are more likely to be rejected are the most indications of B-KPro. In this review, systematic literature search about indications, outcomes, complications and the retention rates over a period of 6 years from 2015 to 2021. The studies published in English .The outcomes are good along Intermediate and long-term but the risk of serious complications after B-KPro making frequent lifelong follow up, monitoring and treatment a must.