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Published on: June 12, 2012
Immediate Bilateral Sequential Keratoplasty in a 13-Year-Old Boy With Perforated Corneal Ulcer Secondary to Exposure
Javad Sadeghi1, Mohammadreza Sedaghat1, Mitra Karimi Amir Abadi1
1Eye Research Center Mashhad University of Medical Sciences Mashhad Iran.
Insights
Immediate sequential bilateral penetrating keratoplasty (PKP) successfully treated a pediatric patient with bilateral corneal perforations. This approach offers a viable solution for emergent cases, preventing further vision loss and complications.
Area of Science:
- Ophthalmology
- Surgical Innovation
Background:
- Bilateral corneal perforations present a critical ophthalmic emergency.
- Prompt intervention is crucial to prevent vision loss and endophthalmitis.
Purpose of the Study:
- To report the first case of immediate sequential bilateral penetrating keratoplasty (PKP).
- To evaluate the treatment outcomes of this emergent surgical approach in a pediatric patient.
Main Methods:
- A 13-year-old patient with bilateral corneal perforations underwent immediate sequential bilateral PKP.
- The surgical procedure involved sequential corneal transplantation in both eyes.
Main Results:
- The patient experienced successful outcomes with no graft rejection or infection at 6-month follow-up.
- Immediate sequential bilateral PKP was effective in managing the critical condition.
Conclusions:
- Immediate sequential bilateral PKP is a safe and effective treatment for bilateral corneal perforations.
- This surgical strategy is a reasonable option in emergent ophthalmic scenarios.
Abstract:
To present the challenging scenario of a 13-year-old patient in the ICU with bilateral corneal perforations secondary to EK, who underwent immediate sequential bilateral penetrating keratoplasty. Furthermore, we explore the treatment outcomes of this approach. A 13-year-old boy presented with decreased vision in both eyes. Upon ophthalmic examination, we identified bilateral perforated corneal ulcers with iris prolapse and a flat anterior chamber (AC). Due to the bilateral corneal perforations and the heightened risk of infectious endophthalmitis, immediate bilateral sequential penetrating keratoplasty (PKP) was carried out for the patient the day after presentation to our emergency room (ER). Over the 6-month follow-up period, no signs of graft rejection or infection were observed. This is the first reported case of immediate sequential bilateral PK. In emergent situations like bilateral corneal perforation, sequential bilateral surgery proves to be a reasonable and effective option.
