Article
The autologous ipsilateral rotating penetrating keratoplasty: An early surgical procedure to prevent deep irreversible amblyopia in Peters' anomaly
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Published: | September 22, 2004 |
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Outline
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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.