Early outcomes of primary paediatric keratoplasty in patients with acquired, atraumatic corneal pathology

Session Details

Session Title: Presented Poster Session: Surgical Cornea

Venue: Poster Village: Pod 2

First Author: : S.Ganekal INDIA

Co Author(s): :                           

Abstract Details

Purpose:

To evaluate the early outcomes of pediatric corneal transplantation in patients with acquired, nontraumatic corneal pathology.

Setting:

Davangere Netralaya.

Methods:

In this retrospective series, the records of children 15 years of age or younger who underwent optical penetrating keratoplasty for acquired nontraumatic corneal pathologies between December 2016 and June 2018 were reviewed. Demographic features, etiology of opacification, visual acuity, and other clinical findings were recorded.

Results:

Nineteen eyes of 19 children. Mean age  9.1 ± 3.01 years. Adherent leucoma secondary to infectious keratitis (63%) , keratoconus (37%) were  leading indications. Mean follow-up period was 10.2 ± 3.3 months (range, 6-18 months). Postoperatively, clear grafts seen in 15 cases (79%). Graft failure  in 4 eyes secondary to allograft rejection (n = 1), graft infection (n = 1), primary graft failure (n = 1), and uncontrolled glaucoma (n = 1). The most common cause of moderate or poor visual outcome was amblyopia (80%). 13 patients (68%) had postoperative visual acuity better than the preoperative vision.

Conclusions:

Penetrating keratoplasty can yield good anatomic results in children with acquired, nontraumatic causes of corneal scarring, but amblyopia limits the visual outcomes.

Financial Disclosure:

None