EPOS

European Paediatric Ophthalmological Society

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19 Penetrating keratoplasty in children

Murta, J., Quadrado, M. J., Carvalheira, F., Faria, R.
Department Ophthalmology, University Hospital Coimbra, Coimbra, Portugal

Purpose:The goal of this study was to evaluate corneal transparency and visual results in 40 children with ages between 1 month and 9 years old submitted to 42 penetrating keratoplasty

Methods:14 eyes(33.3%) for congenital corneal opacifications, 17 eyes(40.5%) for acquired trauma and 11 eyes(26.2%) for acquired non-traumatic causes were submitted to penetrating keratoplasty. Follow-up ranged from 1 to 10 years.

Results:We observed one endophtalmitis due to traumatism and 20 endothelial rejection with loss of transparency. All the other corneas were transparent. Acquired corneal leukomas, phakic eyes and older children had a better visual prognosis.

Conclusion:Penetrating keratoplasty in children, in spite of high risk it presents, has good results in many cases with a transparent transplant and reasonable good functional results.