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[Keratoplasty in children].

E Birndtová1, H Kraus

  • 1II. ocní klinika 1. LF UK, Praha.

Ceskoslovenska Oftalmologie
|January 1, 1992
PubMed
Summary

Pediatric keratoplasty, or corneal transplant surgery, shows mixed results in children. While some achieve good vision, immunological reactions and amblyopia remain significant postoperative complications.

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Area of Science:

  • Ophthalmology
  • Pediatric Surgery

Context:

  • Corneal transplantation in children presents unique challenges.
  • Understanding outcomes and complications is crucial for improving pediatric eye care.

Purpose:

  • To evaluate the anatomical and functional results of pediatric keratoplasty.
  • To analyze the incidence and impact of peroperative and postoperative complications in children undergoing corneal transplantation.

Summary:

  • This study analyzed 24 keratoplasties in 20 children (7 months to 15 years) with a mean follow-up of 2.1 years.
  • The most common complication was immunological reaction (33%), leading to disk turbidity in some cases.
  • Transparent grafts were observed in 45.8% of eyes; visual acuity of 6/12 or better was achieved in 39%.

Impact:

  • Results highlight the need for strategies to mitigate immunological reactions post-keratoplasty in pediatric patients.
  • Identifying causes of reduced visual acuity, such as amblyopia and nystagmus, is essential for targeted interventions.

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