When the Keratoprosthesis Is Too Small: Homburger Corneal Gap Bridging Surgical Technique for Combined Vitreoretinal Surgery and Large-Diameter Keratoplasty

The Homburger corneal bridging technique is a viable option to use the benefits of temporary keratoprostheses in eyes requiring a large-diameter PKP with combined PPV. The disc fixation is easy to perform as in PKP without a new learning curve. Further studies are needed to determine whether the improved visualization provided by this approach translates into better long-term functional and anatomical outcomes in eyes with complex pathologies.