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Published on: May 5, 2022
[Keratoplasy for Peters anomaly (clinical case)]
1Service d'Ophtalmologie, CHU Habib Bourguiba de Sfax, Sfax 3029-Tunisie. bourane.kamoun@rns.tn
Bulletin De La Societe Belge D'Ophtalmologie
|September 27, 2007
Summary
Peters anomaly, a cause of congenital glaucoma, requires corneal transplant (keratoplasty) for vision. Successful keratoplasty in an infant improved vision and reduced nystagmus.
Area of Science:
- Ophthalmology
- Genetics
- Pediatric Surgery
Background:
- Peters anomaly is a congenital condition causing glaucoma and corneal opacity.
- Keratoplasty is crucial for visual restoration in affected infants.
- This study details a clinical case of Peters anomaly management.
Observation:
- A 1-month-old infant presented with bilateral corneal leukomas, nystagmus, and megalocornea.
- Diagnosis was congenital glaucoma secondary to Peters anomaly.
- Initial treatment included trabeculectomy with Mitomycin C.
Findings:
- At 2.5 years, after glaucoma control, the patient underwent penetrating keratoplasty with an 8.5mm graft.
- Two months post-keratoplasty, nystagmus decreased, and vision improved.
- The improved vision facilitated the child's mobility.
Implications:
- Penetrating keratoplasty is vital for achieving corneal transparency in Peters anomaly.
- Effective glaucoma management is a prerequisite for successful keratoplasty.
- Early surgical intervention can significantly improve visual outcomes and development in affected children.
