Abstract
Sir, Skin retraction around optic stem of type-II Boston keratoprosthesis is a common complication. Left unchecked, the condition can progress and lead to infection, extrusion, and perforation. Correction often requires multiple skin revisions, including advancement or even ‘bucket-handle' skin flaps and rarely even replacement of the keratoprosthesis. We describe the outcomes of repair in two cases using a forehead pericranial flap.
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