Long-term outcomes of penetrating keratoplasty in children

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Abstract

Purpose

Outcomes of pediatric penetrating keratoplasties (PK) performed for various corneal anomalies in children.

Methods

Since 2000 56 PKs in children (6 months to 16 years) were performed. In infants group there were: 17 Peters Anomaly cases (24 eyes including 3 bilateral cases, 4 reoperations), 3 cases of sclerocornea. In older children surgeries were performed for 18 leucomas and 11 posttraumatic lesions. Follow up was at least 12 months. VA and graft transparency were analyzed.

Results

59,2% of infant’s eyes had transparent corneas, VA ranged from 0.01 to 0.2. 19.2% of transplanted corneas were cloudy with blured vision. Other grafts were failed including one phthisis. In older children success rate with transparent cornea was achieved in 82,7% of cases. Mean VA was 0.3±0.12. Main complications were: immune rejection (11 eyes), stromal vascularisation (5 cases).

Conclusion

Keratoplasty is an effective procedure to safe vision in children.

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