Osteo-Odonto-Keratoprosthesis (OOKP)

Indications, strategy and clinical context

OOKP is one of the most complex and remarkable reconstructive procedures in ophthalmology. It is designed for end-stage ocular surface disease, especially in severely dry, keratinized or cicatrizing eyes in which a conventional corneal graft or even a standard Type I keratoprosthesis is unlikely to survive.

The technique uses an autologous tooth-bone lamina to support the optical cylinder and is usually combined with mucosal surface reconstruction, creating a biological environment capable of protecting the device in the most hostile ocular surfaces.