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Penetrating keratoplasty as a globe-saving procedure in fragile cornea
Radhika Natarajan1, Gaurav Y Shah, Srinivas K Rao
1Sankara Nethralaya, 18 College Road, Chennai 600 006, Tamil Nadu, India. information@sankaranethralaya.org
Purpose:
To report a case of fragile cornea associated with osteogenesis imperfecta type I in which primary penetrating keratoplasty was done as a tectonic procedure.
Methods:
A 6-year-old boy with osteogenesis imperfecta type I presented with a corneal laceration in his right eye following minor trauma. Since wound repair was not possible due to tissue loss, he underwent a primary penetrating keratoplasty.
Results:
Postoperatively, the eye healed well without any wound leak. The boy had uneventful suture removal 10 weeks following surgery.
Conclusion:
Primary penetrating keratoplasty is a viable option to restore ocular integrity in fragile corneas following trauma when tissue loss precludes simple repair.