Pediatric corneal transplants

Pediatric corneal transplants

Author Trief, Danielle Google Scholar
Marquezan, Maria C. Autor UNIFESP Google Scholar
Rapuano, Christopher J. Google Scholar
Prescott, Christina R. Google Scholar
Abstract Purpose of reviewPediatric keratoplasty poses unique challenges in clinical and surgical management. However, successful transplantation can afford a child vision in an otherwise poorly seeing eye. This review will provide an update on recent advances in pediatric keratoplasty.Recent findingsAlthough children who receive corneal transplants remain at increased risk of rejection, infection, and graft dehiscence compared with adult corneal transplant recipients, new surgical techniques, and advances in clinical management have led to better outcomes. Surgical modifications in penetrating keratoplasty (PKP) offer increased stabilization of the delicate pediatric eye. Lamellar surgery, including endothelial keratoplasty and deep anterior lamellar keratoplasty, can target specific diseased tissue in children with potentially fewer complications. The keratoprosthesis can be used successfully in children when the chance of success with PKP is especially low.SummaryAs our knowledge of prognostic indicators and surgical techniques continues to grow, we can offer children safer and more targeted surgeries for some of the most challenging corneal diseases. Ultimately, successful transplantation with long-term graft survival can be obtained by a multidisciplinary approach, with care across ophthalmic specialties, and a commitment to long-term follow-up by the patient's family.
Keywords deep anterior lamellar keratoplasty
Descemet's stripping automated endothelial keratoplasty
Descemet's stripping endothelial keratoplasty
pediatric keratoplasty
Language English
Date 2017
Published in Current Opinion In Ophthalmology. Philadelphia, v. 28, n. 5, p. 477-484, 2017.
ISSN 1040-8738 (Sherpa/Romeo, impact factor)
Publisher Lippincott Williams & Wilkins
Extent 477-484
Access rights Closed access
Type Revisão
Web of Science ID WOS:000407837000012

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