AUTHOR(S): Dr. Rachel Quadros, Dr. Nilesh Bulbule, Dr. Amit Jagtap and Dr. Dilip Kakade

ABSTRACT:Osteo–Odonto-Kerato prosthesis is the kerato prosthesis of choice for end stage corneal blindness not amenable to penetrating keratoplasty. It is a complex two stage multidisciplinary team approach by a prosthodontist or a maxillofacial surgeon and ophthalmologist, which aims to restore vision in most severe cases of corneal & ocular surface disease. Originally described by Benedetto Strompelli nearly 50 years ago, later modified and refined by Prof. Giancarlo Falcinelli in a step wise manner using the patient’s own tooth root & alveolar bone as a vital support to the optical cylinder, which is implanted in the eye to restore vision. The cornea is replaced by a Poly methyl methacrylate (PMMA) optical cylinder attached to a support (haptic) made by human tissue. The rigid optical cylinder will give an excellent image resolution & quality. Modified OOKP for corneal blindness may provide a long term, anatomically stablecornealprosthesis,hopeforvisionandrehabilitatingrecoveryincornealblindpatients.This review article describes the desirable property of ideal kerato prosthesis, indication, contraindication, patient assessment (eye, tooth, buccal mucosa) & its surgical procedure with its advantages and limitation.

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