alexa A Tooth for an Eye: The Osteo-Odonto-Keratoprosthesis (
e-ISSN: 2320-7949 and p-ISSN: 2322-0090

Research & Reviews: Journal of Dental Sciences
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Review Article

A Tooth for an Eye: The Osteo-Odonto-Keratoprosthesis (OOKP) - A Review.

Rao Lakshmana B1*, Rajashekar Sangur1, Mahajan Tanu1, Mishra Prabhat2, and Singhal Parul3

1Department of Prosthodontics, Rama Dental College, Kanpur, India.

2Department of Prosthodontics, Dental College, Azamgadh, India.

3Department of Prosthodontics, Rajasthan Dental College and Hospital, Jaipur, India.

Corresponding Author:
Rao Lakshmana B
Department of Prosthodontics, Rama Dental College, Kanpur, India.
+91 9335969726

Received: 03/04/2013 Revised: 17/04/2013 Accepted: 19/04/2013



Osteo-Odonto-Keratoprosthesis (OOKP) or ‘Tooth-in-eye surgery’, the original technique was described by Benedetto Strampelli nearly fifty years ago, using the patient’s own tooth root and alveolar bone as vital support to an optical cylinder, for patients with the most severe type of corneal and ocular surface diseases, for whom other treatments would not be useful. The cornea is replaced by a polymethyl methacrylate (PMMA) optical cylinder glued to a biological support (haptic) made by human living tissue. Prof.Giancarlo Falcinelli has refined and improved this procedure, in a step wise manner. OOKP surgery requires multidisciplinary team approach. Possible complications of this procedure include ulceration of the implant buccal mucosa, ocular infection and secondary glaucoma. This review article describes the Osteo-Odonto-Keratoprosthesis (OOKP) indications, surgical procedures, advantages and limitations.


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