[Surgical treatment options for congenital/infantile corneal opacities and anterior segment dysgenesis]. / Chirurgische Therapieoptionen bei kongenitalen/kindlichen Hornhauttrübungen und Vorderabschnittsdysgenesien.
Ophthalmologe
; 119(5): 453-461, 2022 May.
Article
em De
| MEDLINE
| ID: mdl-35378598
ABSTRACT
BACKGROUND:
Due to the risk of amblyopia congenital and infantile corneal opacities have a narrow therapeutic window, frequently with a complex surgical treatment.OBJECTIVE:
The present study gives an overview of the current treatment options for congenital and infantile corneal opacities.METHODS:
The results of a literature search are presented and own clinical data and examples are shown.RESULTS:
In children ophthalmologic operations are surgically more demanding and the prognosis is generally worse. Surgical options include phototherapeutic keratectomy, crosslinking, corneal sutures, sectoral iridectomy, block excision and lamellar, penetrating, and auto-keratoplasty. An equally important part of the treatment is conservative treatment, when necessary with bandage lenses, glasses, contact lenses and occlusion.DISCUSSION:
Whenever possible treatment of congenital and infantile corneal opacities should be limited to the affected layers/areas. Nevertheless, children and parents have to be prepared for many examinations, sometimes with the patient under anesthesia and should be well-informed about the prognosis and the risks.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Distrofias Hereditárias da Córnea
/
Ceratectomia Fotorrefrativa
/
Opacidade da Córnea
Tipo de estudo:
Diagnostic_studies
/
Prognostic_studies
Limite:
Child
/
Humans
Idioma:
De
Ano de publicação:
2022
Tipo de documento:
Article