Mayalı H.Kayıkçıoğlu Ö.Altınışık M.Bıçak F.Kurt E.2024-07-222024-07-22201921498709http://akademikarsiv.cbu.edu.tr:4000/handle/123456789/14589Objectives: To evaluate the clinical results of combined pars plana vitrectomy (PPV) with Landers wide-field temporary keratoprosthesis and penetrating keratoplasty (PK). Materials and Methods: From January 2016, traumatic eyes with coexisting corneal and vitreoretinal diseases that underwent combined keratoprosthesis/PPV/PK surgery were retrospectively evaluated. Demographic characteristics, visual acuity (VA), intraocular pressure (IOP) and clinical findings of the cornea, lens, and retina were recorded during the follow-up. Cases with clear corneal graft, attached retina, normotonic IOP, and improved or stable VA were considered successful. Results: Eight eyes were enrolled in the study. The mean follow-up time was 21.1±8.20 months. Surgery was performed a mean of 23 (10-40) days after trauma. Preoperative VA ranged from no light perception to counting fingers from 50 cm. Postoperatively, corneal graft was clear in 5 patients (62.5%) and retina was attached in 6 eyes (75%). Chronic hypotonia developed in 3 patients (37.5%). VA was unchanged in 3 patients and improved in 5 patients. A total of 5 cases (50%) were considered successful. Shorter interval between trauma and surgery was associated with higher likelihood of success (p=0.043). No significant difference was observed between the groups in terms of type or location of trauma (p=1; p=0.143). Conclusion: Although the functional results are not very satisfactory, the combined procedure provides a final opportunity for preserving remaining vision and anatomic reconstruction in eyes that will otherwise result in phthisis due to severe anterior and posterior segment pathologies. © 2019 by Turkish Ophthalmological Association.EnglishAll Open Access; Gold Open Access; Green Open AccessAdolescentAdultEye Injuries, PenetratingFemaleFollow-Up StudiesHumansIntraocular PressureKeratoplasty, PenetratingMaleMiddle AgedProstheses and ImplantsProsthesis ImplantationRetrospective StudiesTreatment OutcomeVisual AcuityVitrectomyYoung Adultcyclopentolatemoxifloxacinprednisolone acetatesikloplejinsiliconesilicone oilsteroidadolescentadultArticleclinical articlecornea opacitycornea transplantationcornea ulcercross-sectional studyfemalegraft failuregraft rejectionhumanintraocular pressurelaser coagulationlow drug dosemaleoculoplethysmographypenetrating keratoplastyperceptionpostoperative careretrospective studysclerotomyvisual acuityvitrectomyvitreoretinal surgeryeye injuryfollow upmiddle agedpathophysiologypenetrating keratoplastyphysiologyproceduresprostheses and orthosesprosthesis implantationtreatment outcomevisual acuityyoung adultArticle10.4274/tjo.galenos.2019.87059