RESUMO
INTRODUCTION: Peters anomaly is a primitive congenital glaucoma characterised by a central corneal leukoma. Therefore, keratoplasty is essential in addition to the specific treatment of the glaucoma. We aim to study the particularities and the evolutional ways of penetrating keratoplasty in Peters anomaly by presenting a clinical case treated in our service. CLINICAL CASE: Female baby aged 1 month, addressed for bilateral corneal leukoma. On examination he presented no ocular pursuit, a nystagmus and a megalocornea. Clinical features concluded to congenital glaucoma associated to Peters anomaly. The patient underwent trabeculectomy with Mitomycine C application. At the age of 2 1/2 years, and with an equilibrated eye pressure, she underwent penetrating keratoplasty using a 8,5mm diameter corneal graft. After 2 months the nystagmus decreased, and the vision improved, permitting an easier walk for the child. CONCLUSION: Peters anomaly is a frequent cause of congenital glaucoma, where penetrating keratoplasty is essential for corneal transparency. It necessitates a good eye pressure control.
