Zeitschrift für klinische und experimentelle Ophthalmologie
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AlphaCor Implantation in Patient with Ocular Cicatricial Pemphigoid

Nada Jiraskova, Pavel Rozsival, Vera Velika and Jan Lešták

Purpose: To report a case of successful treatment of a patient with ocular cicatricial pemphigoid with AlphaCor keratoprosthesis implantation and subsequent cataract extraction.
Methods: We report a case of successful AlphaCor keratoprosthesis implantation in patient with OCP. A careful preparation (repeated electrolysis of trichiasis and fornix and lid reconstruction surgery) was done before AlphaCor surgery. Uneventful phacoemulsification with posterior chamber intraocular lens implantation was performed 18 months after stage II AlphaCor surgery.
Results: Long-term (6 years) retention of keratoprosthesis was achieved with improvement of visual functions.
Conclusions: Ocular cicatricial pemphigoid is considered as a relative contraindication for AlphaCor implantation. We have achieved very good long-term outcomes with optimization of patient´s condition before AlphaCor surgery.