Friday, April 19, 2019

Osteo-odonto-keratoprosthesis: Blind person Sees With 'Tooth-in-Eye' Surgery


Introduction:
Osteo-odonto-keratoprosthesis (OOKP) is also known as ‘Tooth is eye Surgery’, is a  medical procedure to restore the vision of the person who is suffering from the most severe cases of the corneal and ocular surface, end-stage forms of corneal blindness that are amenable to corneal transplantation or other forms of surgery. This surgery involves the removal of the patient’s tooth and followed by inserting a tiny artificial lens inside it.
Procedures:The tooth in eye surgery is a medical procedure in which a tooth with its root and part of the adjacent bone is removed from the patient and fashioned into a cube with a hole drilled into its center, then an artificial tiny the lens is implanted to that hole. After implanting the lens to the tooth it is then inserted to the patient’s cheek to grow new blood vessels. Simultaneously scar tissues from the surface of the eye are carefully excised and the tissues from the inner mucosal lining of the cheek are harvested onto it.
The patient’s damaged eye which was previously covered with the cheek lining is opened. A circular opening is made in the cornea and the iris and the lens is removed from the eyes. Then the tooth structured tooth is removed from the patient’s cheek, implanted within the eyes and covered with the cheek linings.


Medical Issues:
Osteo-odonto-keratoprosthesis is mostly performed for the patients with a rare type of corneal blindness and whom a conventional corneal transplant would not work. This is an unusual surgery with the last chance to recover eye-sight. But this procedure is now without risk, if it became unsuccessful then any remaining sight the patient had before would be lost.
There are a few surgeons who perform this surgery it is only reserved for the patients with rare types of corneal blindness and for whom a conventional corneal transplant would not work.



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