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Risk factors for complications following pediatric epikeratoplasty
K P Cheng1, D A Hiles, A W Biglan
1Department of Ophthalmology, University of Pittsburgh School of Medicine, Pennsylvania.
Journal of Cataract and Refractive Surgery
|May 1, 1992
Summary
Epikeratoplasty in children can lead to refractive and medical complications. Avoiding risk factors like young age and certain conditions improves success rates for this pediatric eye surgery.
Area of Science:
- Ophthalmology
- Pediatric Surgery
- Corneal Surgery
Background:
- Epikeratoplasty is a surgical procedure used to treat various corneal conditions in children.
- Understanding complication rates and identifying risk factors is crucial for optimizing outcomes.
- Previous studies have highlighted the need for further investigation into pediatric epikeratoplasty complications.
Purpose of the Study:
- To determine the prevalence and types of complications following epikeratoplasty in pediatric patients.
- To identify specific risk factors associated with adverse outcomes in children undergoing epikeratoplasty.
- To provide evidence-based recommendations for improving the success of epikeratoplasty in children.
Main Methods:
- Retrospective review of clinical records for 88 pediatric patients (106 eyes, 114 procedures) who underwent epikeratoplasty.
- Analysis of complication types, including refractive and medical issues.
- Identification of patient-specific and procedure-related risk factors.
Main Results:
- No complications were observed in 54% of grafts.
- Refractive complications occurred in 28% of eyes, and medical complications in 19%.
- Identified risk factors for poorer outcomes include patient age under one year, microcornea, endothelial dysfunction, mental retardation, and concurrent cataract surgery.
Conclusions:
- Epikeratoplasty in children is associated with a significant rate of refractive and medical complications.
- Certain patient factors and surgical combinations increase the risk of complications.
- Avoiding specific risk factors can enhance the success of epikeratoplasty in pediatric populations.