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Pediatric Keratoplasty: Indications, Techniques, and Long-term Outcomes
Mustafa Yıldırım1, Ayșenur Sönmez1, Kamber Kașali2
1Department of Ophthalmology, Atatürk University School of Medicine, Erzurum, Turkey.
Journal of Pediatric Ophthalmology and Strabismus
|March 6, 2026
Summary
Pediatric keratoplasty, primarily for keratoconus, shows high graft survival and improved vision. This surgery is effective for young patients needing corneal transplants.
Area of Science:
- Ophthalmology
- Corneal Surgery
- Pediatric Eye Care
Background:
- Keratoplasty is a surgical procedure to restore vision in patients with corneal opacity.
- Pediatric corneal transplantation presents unique challenges and indications compared to adult cases.
Purpose of the Study:
- To evaluate the indications for and long-term clinical outcomes of keratoplasty in patients aged 18 years and younger.
- To assess visual acuity, graft survival, and complications in pediatric keratoplasty recipients.
Main Methods:
- Retrospective review of 55 eyes from 43 patients under 18 who underwent keratoplasty.
- Inclusion criteria required a minimum 1-year follow-up period.
- Pre-operative and post-operative corrected distance visual acuity (CDVA) were assessed.
Main Results:
- The most common indication for keratoplasty was advanced keratoconus (60%).
- Significant improvement in CDVA was observed post-surgery (P < .001), with 81.81% of patients showing better vision.
- The overall graft survival rate was high at 92.73%.
Conclusions:
- Keratoconus is the leading indication for keratoplasty in pediatric patients.
- Pediatric keratoplasty demonstrates favorable outcomes with high rates of graft survival and visual acuity improvement.
