Advanced Keratoprosthesis & Ocular Surface Reconstruction

Tibial Bone Keratoprosthesis

An autologous-support keratoprosthesis using tibial bone as structural support for the optical cylinder in selected complex eyes where other reconstructive strategies are not suitable.

Tibial Bone Keratoprosthesis
Clinical overview

Indications, strategy and clinical context

Tibial Bone Keratoprosthesis uses autologous tibial bone as the biological support for the optical cylinder. It is an alternative to osteo-odonto-keratoprosthesis in highly complex ocular-surface disease, especially when a tooth-bone lamina is not available or not ideal.

This technique belongs to the group of autologous-support keratoprostheses and is intended for very specific end-stage eyes. Its value lies in expanding the reconstructive options available when more conventional corneal procedures are no longer appropriate.

Role
Alternative biological supportTibial bone provides a structural autologous support when an osteo-dental lamina cannot be used.
Context
Part of the advanced KPro spectrumIt should be understood alongside Boston KPro and OOKP, not as a replacement for all cases but as a highly selective reconstructive option.
Selection
Reserved for complex indicationsAppropriate evaluation of ocular surface status, visual potential and the feasibility of other KPro strategies is essential.
Tibial Bone Keratoprosthesis frontal view
Tibial Bone KPro · Frontal clinical view
Tibial Bone Keratoprosthesis clinical photograph
Tibial Bone KPro · Clinical detail
Medical information reviewed for this website on 24 August 2026. Final treatment selection requires an individualized ophthalmic assessment.
Evidence & innovation

Selected scientific evidence.

Each surgical strategy is linked to peer-reviewed publications and long-term clinical experience. Select an article below to open its PubMed record.

Appointments · Barcelona & Online

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Patients and referring ophthalmologists can request an in-person consultation in Barcelona or an online preliminary evaluation of the case. Clinical reports, slit-lamp photographs, imaging and previous surgical history can be reviewed before travel.

International Department
[email protected]
Oftalvist Barcelona
C/ Anglí, 40
08017 Barcelona · Spain
HLA Internacional Barcelona · 4th floor
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