Selective Endothelial Removal for Peters Anomaly.
Cornea
; 37(3): 382-385, 2018 Mar.
Article
en En
| MEDLINE
| ID: mdl-29408830
ABSTRACT
PURPOSE:
Peters anomaly is the most common cause of congenital corneal opacities. Although conservative management is often ineffective except in mild cases, surgical intervention in the form of penetrating keratoplasty is fraught with unpredictability and often has unacceptable postoperative outcomes. As such, there is a need to explore alternative surgical interventions that may possibly improve the postoperative visual prognosis in these patients. In this report, we present a case of type 1 Peters anomaly treated by selective endothelial removal without corneal tissue transplantation.METHODS:
A case report with literature review.RESULTS:
A 21-month-old child, who presented with unilateral type 1 Peters anomaly, underwent selective endothelial removal without corneal tissue transplantation for the treatment of her condition. The patient demonstrated excellent anatomical and visual recovery after the procedure over a 1-year period. Her visual acuity had improved from 20/960 preoperatively to 20/30 during the latest review. Postoperative recovery was not complicated by the development of any sight-threatening complications, and she has been successfully weaned off all topical and systemic medications.CONCLUSIONS:
Selective endothelial removal can potentially be used to treat cases of type 1 Peters anomaly.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Procedimientos Quirúrgicos Oftalmológicos
/
Endotelio Corneal
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Anomalías del Ojo
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Opacidad de la Córnea
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Segmento Anterior del Ojo
Tipo de estudio:
Diagnostic_studies
/
Prognostic_studies
Límite:
Female
/
Humans
/
Infant
Idioma:
En
Revista:
Cornea
Año:
2018
Tipo del documento:
Article
País de afiliación:
Singapur
Pais de publicación:
EEUU
/
ESTADOS UNIDOS
/
ESTADOS UNIDOS DA AMERICA
/
EUA
/
UNITED STATES
/
UNITED STATES OF AMERICA
/
US
/
USA