Dr.Subhojit Chakraborty

Abstract

Penetrating keratoplasty is a challenging procedure in pediatric patients due to irreversible eye malformations, low scleral rigidity, and difficulty with post-operative rehabilitation and follow-up. The study evaluates the procedure's indications and outcomes, analyzes visual outcomes over 12 months, investigates undetected post-operative complications, and examines the impact of postoperative amblyogenic therapy and refraction on follow-up vision in clear grafts.The most common reason for keratoplasty was infectious keratitis (46%).The study found that 45.8% of pediatric keratoplasties had a BCSVA of 20/200 or better, while 20.8% had a BCSVA of 20/80 or better.Keratoplasty remains the surgery of choice for incurable pediatric corneal disease.Peter's anomaly and sclerocornea patients had the worst outcomes with high rejection rates.The Kaplan-Meier curve showed association between vascularized cornea(p = 0.026),inflammation and combined surgery with survival of corneal graft.