Pediatric corneal transplants

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dc.contributor.author Trief, Danielle
dc.contributor.author Marquezan, Maria C. [UNIFESP]
dc.contributor.author Rapuano, Christopher J.
dc.contributor.author Prescott, Christina R.
dc.date.accessioned 2019-08-19T11:49:36Z
dc.date.available 2019-08-19T11:49:36Z
dc.date.issued 2017
dc.identifier http://dx.doi.org/10.1097/ICU.0000000000000393
dc.identifier.citation Current Opinion In Ophthalmology. Philadelphia, v. 28, n. 5, p. 477-484, 2017.
dc.identifier.issn 1040-8738
dc.identifier.uri http://repositorio.unifesp.br/handle/11600/51357
dc.description.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. en
dc.format.extent 477-484
dc.language.iso eng
dc.publisher Lippincott Williams & Wilkins
dc.rights Acesso restrito
dc.subject deep anterior lamellar keratoplasty en
dc.subject Descemet's stripping automated endothelial keratoplasty en
dc.subject Descemet's stripping endothelial keratoplasty en
dc.subject keratoprosthesis en
dc.subject pediatric keratoplasty en
dc.subject PKP en
dc.title Pediatric corneal transplants en
dc.type Revisão
dc.description.affiliation Columbia Univ, Med Ctr, Dept Ophthalmol, New York, NY 10027 USA
dc.description.affiliation Univ Fed São Paulo, UNIFESP, Dept Ophthalmol & Visual Sci, Paulista Sch Med, São Paulo, SP, Brazil
dc.description.affiliation Wills Eye Hosp & Res Inst, Cornea Serv, Philadelphia, PA USA
dc.description.affiliation Johns Hopkins Univ, Wilmer Eye Inst, Baltimore, MD USA
dc.description.affiliationUnifesp Univ Fed São Paulo, UNIFESP, Dept Ophthalmol & Visual Sci, Paulista Sch Med, São Paulo, SP, Brazil
dc.identifier.doi 10.1097/ICU.0000000000000393
dc.description.source Web of Science
dc.identifier.wos WOS:000407837000012



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