Pediatric corneal transplant (pediatric keratoplasty) is a high-risk procedure performed for indications like congenital corneal opacities, anterior segment dysgenesis and corneal scars. The pediatric corneal transplantation have higher rejection rates. But new surgical techniques have shown better results. This article discusses advances in the field of pediatric keratoplasty in surgical and clinical management.
In India, pediatric keratoplasty accounts for only 5% of the total corneal transplant that occurs. The indications, graft survival rates and the surgical techniques are of major concern in pediatrics. Certain unique preoperative and postoperative factors important in pediatric keratoplasty include: Children with ocular comorbidities, cataract, glaucoma, optic nerve damage, anterior segment dysgenesis, and retinopathy, increase the surgical complexity. Preoperatively, ocular…
