Objective:

To explain the advancements and multidisciplinary approach in the osteo-odonto-keratoprosthesis (OOKP) service for restoring vision in patients with end-stage ocular surface disease.

Approach:

Key Findings:

• OOKP is designed for patients with severe ocular surface disease who cannot undergo traditional corneal transplants.
• The procedure consists of two surgeries, with full vision recovery occurring after the second stage.
• Glaucoma is a common complication in OOKP patients, affecting 80-85% of them.
• New imaging techniques allow for better monitoring of optic nerve health in OOKP patients.
• Alternative materials, such as calvarial bone, are being explored for patients without suitable teeth.

Interpretation:

The OOKP procedure represents a significant advancement in restoring vision for patients with severe ocular surface disease, requiring a collaborative approach among various medical specialties.

Limitations:

• Only a few centers worldwide perform OOKP due to its complexity.
• Patient eligibility is limited to those with specific conditions and suitable dental anatomy.

Conclusion:

The OOKP service at Moorfields South exemplifies a successful multidisciplinary approach to complex ocular surgeries, with ongoing innovations aimed at improving patient outcomes.

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