The Boston Keratoprosthesis Type 1 was pioneered by Claes Dohlman several decades ago. Since its inception, the device has undergone multiple revisions to address challenges associated with retroprosthetic membrane formation, retention, extrusion, stromal melt and endophthalmitis. Although visual outcomes and retention rates have improved, challenges, especially glaucoma, remain.

中文翻译：

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1型波士顿角膜置换术在管理方面的挑战。

波士顿角膜塑形术1型由克莱斯·多尔曼（Claes Dohlman）于几十年前率先提出。自推出以来，该设备经历了多次修订，以应对与义齿后膜形成，保留，挤压，基质融化和眼内炎相关的挑战。尽管视觉效果和保留率有所提高，但挑战仍然存在，尤其是青光眼。