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Artificial Corneas for the Third World? The Best Efforts for the Worst Case - The First Clinical Trials of Low Cost ‘Champagne Cork Keratoprostheses of PMMA, Glass/Stainless Steel and Polycarbonate in 107 Corneal-Blind Patients in Amritsar, India
There is definitively a scope for keratoprosthetics, also in India, and we are still improving with our champagne cork keratoprostheses. The problem with patients implanted with a keratoprosthesis is that, in Amritsar at least, they do not turn up for follow up if they are feeling comfortable with their vision. Since most of these have not come back, it shows the success of the procedure. We have many dozens of patients with a good vision 2 years after the implantation. One young patient has 6/12 vision 8 years after surgery. In our view, the pessimism in textbooks and articles about the functional results of keratoprostheses until now cannot be extrapolated to sclerally fixated champagne cork keratoprostheses: if there is no chance of keratoplasty being performed in the foreseeable future due to the nonavailability of donor-eyes, it is quite reasonable and humanitarian to implant a keratoprosthesis in bilateral cornea-blind patients in the eye with little or no chance of getting treated by keratoplasty.
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