Posters

Childhood corneal blindness: how to challenge amblyopia in the absence of available grafts

Poster Details

First Author: S.Belgadi MOROCCO

Co Author(s):    S. Belghmaidi   I. Hajji   A. Moutaouakil              

Abstract Details

Purpose:

The purpose of our study is to focus on the childhood corneal blindness in our department as well as the different treatments used to increase visual acuity and prevent the installation of amblyopia in the absence of available grafts.

Setting:

University hospital center Mohammed VI, Marrakesh, Morocco

Methods:

Retrospective and descriptive study on children followed in our department over a period of 4 years (January 2015 - December 2018) with a visual acuity

Results:

157 patients were identified at the time of diagnosis; the mean age was 5 years. Visual acuity varied from counting fingers at 3m to 1 LogMAR (47%). The corneal opacification was unilateral in 95% of cases. 52% presented with corneal trauma. Keratitis was found in 27%. And keratoconus was seen in 5%. 20 patients require refractive correction and occlusion with a final corrected acuity > 0,3 LogMAR. 32 patients used contact lenses with a range from 6 months to 4 years. Final acuity was >0,3 LogMAR in 25 cases. 112 patients were enrolled in the registry. Only 12 were grafted.

Conclusions:

Childhood corneal blindness is mostly due to preventable and treatable causes. It presents a particular urgent character because of the risk of installation of amblyopia. In the absence of available grafts, rigid contact lenses or scleral lenses allows in some cases to improve the visual acuity and go beyond the heading of amblyopia.

Financial Disclosure:

None