gms | German Medical Science

102. Jahrestagung der DOG

Deutsche Ophthalmologische Gesellschaft e. V.

23. bis 26.09.2004, Berlin

The autologous ipsilateral rotating penetrating keratoplasty: An early surgical procedure to prevent deep irreversible amblyopia in Peters' anomaly

Meeting Abstract

  • corresponding author C. Grünauer-Kloevekorn - Universitätsklinik und Poliklinik für Augenheilkunde der Martin-Luther-Universität Halle-Wittenberg, Halle/Saale
  • V. Bau - Universitätsklinik und Poliklinik für Augenheilkunde der Martin-Luther-Universität Halle-Wittenberg, Halle/Saale
  • R. Weidlich - Universitätsklinik und Poliklinik für Augenheilkunde der Martin-Luther-Universität Halle-Wittenberg, Halle/Saale
  • G. I. W. Duncker - Universitätsklinik und Poliklinik für Augenheilkunde der Martin-Luther-Universität Halle-Wittenberg, Halle/Saale

Evidenzbasierte Medizin - Anspruch und Wirklichkeit. 102. Jahrestagung der Deutschen Ophthalmologischen Gesellschaft. Berlin, 23.-26.09.2004. Düsseldorf, Köln: German Medical Science; 2004. Doc04dogP 017

The electronic version of this article is the complete one and can be found online at: http://www.egms.de/en/meetings/dog2004/04dog508.shtml

Published: September 22, 2004

© 2004 Grünauer-Kloevekorn et al.
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Outline

Text

Objective

It is a challenge to prevent irreversible amblyopia in infants suffering from Peters' anomaly. In some cases of unfavourable situation of the corneal opacification an optical sector iridectomy can not lead to clear optical axis. The homologous penetrating keratoplasty as an early surgical procedure has shown an extremely high risk of transplantat failure. We report on a nine months old infant suffering from Peters' anomaly and autologous ipsilateral rotating penetrating keratoplasty.

Methods

An autologous ipsilateral rotating penetrating keratoplasty was performed in an 8 weeks old infant suffering from Peters` anomaly to prevent a irreversible amblyopia.

Results

After a follow-up time of 7 months we saw a clear graft within the optical axis without any complications in wound healing. We removed sutures 4 months after keratoplasty. Because of postoperative high astigmatism (s -2,0 c -9,5 a 2°) we fitted a rigid contact lens with special back surface design. While follow-up the intraocular pressure was within the normal range.

Conclusions

The autologous ipsilateral rotating penetrating keratoplasty should be superior to homologous keratoplasty in infants with Peters' anomaly if sector iridectomy is unpossible because of unfavourable situation of the corneal opacification. Resulting high refractive errors can be corrected by special contact lens fit.