By Jared Daniel Ament
    Comprehensive Ophthalmology

    PURPOSE: To educate the international ophthalmic community on the advantages and disadvantages of the Boston Keratoprosthesis (KPro) in nonindustrialized countries. METHODS: An international protocol was developed and implemented for small pilot projects in Ethiopia and Sudan. This, in addition to expert clinical commentary, guided the use of KPro surgery abroad. RESULTS: KPro has now been successfully implanted in many countries, including regions in Africa. Five of 6 patients in Ethiopia have reported improved visual acuity and increased function in activities of daily living. CONCLUSION: When patient selection criteria and follow-up practices are strictly adhered to, the KPro may be a viable ophthalmic device in the developing world.