Posters

Effectiveness of keratoplasty in case of particularly severe corneal pathology in children

Poster Details

First Author: S.Oragvelidze BELARUS

Co Author(s): V. Ivanova                    

Abstract Details

Purpose:

To estimate a efficiency of different methods of Keratoplasty (KP) in especially heavy corneal pathologies in children.

Setting:

Department of Ophthalmology, Belarusian state medical university,4th Children’s Clinical Hospital of Minsk, Belarus.

Methods:

32 patients with especially heavy corneal pathologies underwent KP (37 operations).The types of produced KP: Therapeutic surface layered KP(17 children), reconstructive penetrating KP (15 children). Donor material was the cornea of the human corpse eye and alloplanty for KP.In case of 20 (62,5%)patients the main etiologic factor was an infectious pathology, (purulent ulcers, post-inflammatory leukoma and staphylomas,destructions, perforations), including one case (3.2%) was disturbed due to the violation of the rule of carrying the contact lenses, 6 (18,8%) children had neurotrophic sterile ulcers,3(9,4%) case were outcome of trauma of the eye, 2(6,3%)children had the congenital pathology of the eye.

Results:

The therapeutic effect achieved in all cases (Therapeutic surface layered KP) 5 patients with destruction of the cornea due to recurrent torpid keratitis underwent therapeutic surface layered KP with ears of the sclera.Inflammatory process was docked 2 children have restored visual acuity to 0.2 -0.3 3 children from 0.02 to 0.04 Engrafment of the graft (Reconstructive penetrating KP)follow-up period period to 3-years: 11 patients (73,3%)transparent.Visus from 0,01 to 0,8. 3 patients (20,0%)hemi-transparent.Visus = 0,01. 1 child (6,7%) – transparent cloudy . According to the literature in the period up to one year after end-to-end KP survives about 70% of grafts.

Conclusions:

1. Therapeutic surface layered KP allowed to block destructive process above the sterile corneal ulcers and ulcers of the cornea with infiltration without perforations. 2. Reconstructive-penetrating KP in 73.3% of cases, restore vision in particularly severe pathology of the cornea post inflammatory character and epithelial-endothelial corneal dystrophy. 3. Even in particularly severe corneal pathology KP helped to keep the eyeball and residual vision. 4. After the KP is possible to perform the subsequent optical interference.

Financial Disclosure:

None