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Three-Dimensional Printing of a Complex Aortic Anomaly
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Selective Endothelial Removal for Peters Anomaly.

Yu Qiang Soh1,2, Jodhbir S Mehta1,2,3,4

  • 1Tissue Engineering and Stem Cell Group, Singapore Eye Research Institute, Singapore.

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|February 7, 2018
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Summary

Selective endothelial removal offers a promising alternative for treating type 1 Peters anomaly, a common cause of congenital corneal opacities. This novel approach achieved significant visual recovery in a pediatric patient without transplantation.

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Area of Science:

  • Ophthalmology
  • Corneal Surgery

Background:

  • Peters anomaly is a leading cause of congenital corneal opacities.
  • Current treatments like penetrating keratoplasty have unpredictable outcomes.

Observation:

  • A case of unilateral type 1 Peters anomaly in a 21-month-old child.
  • The patient underwent selective endothelial removal without corneal tissue transplantation.

Findings:

  • Excellent anatomical and visual recovery was observed over a 1-year follow-up.
  • Visual acuity improved from 20/960 to 20/30.
  • No sight-threatening complications occurred, and medications were discontinued.

Implications:

  • Selective endothelial removal may be a viable surgical option for type 1 Peters anomaly.
  • This technique could improve visual prognosis in affected children.
  • Further research into this alternative surgical approach is warranted.