Pediatric Keratoplasty

被引：125
作者：
Vanalthi, M. [1 ]
Panda, Anita [1 ]
Vengayil, Sujith [1 ]
Chaudhuri, Zia [2 ]
Dada, Tanuj [1 ]
机构：
[1] All India Inst Med Sci, Dr Rajendra Prasad Ctr Ophthalm Sci, Cornea & Refract Surg Serv, New Delhi 110029, India
[2] Maulana Azad Med Coll, Pediat Ophthalmol Serv, New Delhi, India
来源：
SURVEY OF OPHTHALMOLOGY | 2009年 / 54卷 / 02期
关键词：
acquired non-traumatic opacity; acquired traumatic opacity; anterior segment dysgenesis; congenital corneal opacity; congenital glaucoma; congenital hereditary endothelial dystrophy; corneal transplantation; endothelial rejection; keratoplasty in children; pediatric keratoplasty; Peter's anomaly; HEREDITARY ENDOTHELIAL DYSTROPHY; BILATERAL PENETRATING KERATOPLASTY; SEGMENT MESENCHYMAL DYSGENESIS; CORNEAL TRANSPLANTATION; LAMELLAR KERATOPLASTY; GRAFT-SURVIVAL; CHILDHOOD BLINDNESS; CONGENITAL GLAUCOMA; VISUAL PROGNOSIS; YOUNG-CHILDREN;
D O I：
10.1016/j.survophthal.2008.12.011
中图分类号：
R77 [眼科学];
学科分类号：
100212 ;
摘要：
Penetrating keratoplasty in children is a highly challenging and demanding procedure associated with a high risk of graft failure Or failure of amblyopia therapy in clear grafts. Nonetheless, keratoplasty remains the surgery, of choice for I-lie management of pediatric corneal stromal opacities or edema. Allograft. rejection, graft infection, corneal neovascularization, glaucoma, trauma to the anterior segment, vitreous pathology, and additional Surgical interventions, especially those related to glaucoma management, are important risk factors. Successful penetrating keratoplasty in children requires careful preoperative evaluation and selection of patients follow-up by well-motivated parents, art expert corneal transplant surgeon, and a devoted pediatric ophthalmologist. (Surv Ophthalmol 54:245-271, 2009. (C) 2009 Elsevier Inc. All rights reserved.)
引用
收藏
页码：245 / 271
页数：27
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