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[Keratoplasty in children. Analysis of 127 surgically treated eyes over 10 years]
J M Legeais1, D Jobin, Y Pouliquen
1Hôtel-Dieu de Paris.
Insights
Corneal transplantation in children shows better outcomes when performed later in childhood. Graft transparency is linked to patient age and corneal disease type, indicating visual benefits outweigh challenges.
Area of Science:
- Ophthalmology
- Pediatric Surgery
Context:
- Keratoplasty in pediatric patients presents unique challenges.
- Understanding factors influencing graft success is crucial for improving outcomes.
Purpose:
- To evaluate the outcomes of keratoplasty in children under 15 years.
- To determine the correlation between graft transparency, patient age, and corneal disease etiology.
Summary:
- One hundred twenty-seven pediatric eyes underwent keratoplasty with 1-10 years follow-up.
- Graft transparency correlated with patient age and corneal disease type.
- Penetrating keratoplasty showed better prognosis when performed later in childhood, independent of etiology.
Impact:
- Corneal transplantation in selected pediatric cases offers significant visual benefits.
- Findings suggest optimizing surgical timing can improve graft survival and visual acuity in children.
Abstract:
One hundred and twenty-seven eyes of children less than 15 years of age underwent keratoplasty with one to ten years follow-up. The cases were divided into three groups of age, and the results are compared. Graft transparency has a direct correlation with the age of patient and type of corneal disease. Penetrating keratoplasty carries a better surgical and visual prognosis when carried out late in childhood. This is not only the fact of the particular etiologies found in this subgroup of age. When adjusting the results to the both factors age and etiology, we have demonstrated their independent. The visual benefits of corneal transplantation in selected cases in children appear to outweigh the difficulties and problems engendred by this procedure.