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Ricardo Rios, Regina Velasco, Alejandro Babayan, Osca Fernandez, Oscar Baca; Results In Pediatric Penetrating Keratoplasty. Invest. Ophthalmol. Vis. Sci. 2011;52(14):356.
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To indentify the patient characteristics, surgical indications, and outcomes of pediatric keratoplasty performed in an ophthalmologyst hospital in Mexico.
The authors performed a retrospective chart review of penetrating keratoplasty performed in patients younger tan 18 years in Fundación Hospital Nuestra Señora de la Luz (Mexico city) between 1998 and 2010.
A total of 142 penetrating keratoplasties were performed during the study interval, all them unilateral. The surgical indications included congenital opacities in 4 patients (2.82%),acquired nontraumatic opacities in 116 patients (81.69%), and acquired traumatic opacities in 22 patients (15.49%). The ages were 9 pre-school children (2 to 5 years of age), 42 schoolchildren (6 to 11 years of age) and 92 adolescents (12 to 17 years of age). Overall graft survival at 1 year was 60%. Graft survival at 1 year was different among the different age groups (35% for patients from 2 to 5 years, 54% for patients from 6 to 11 years,70% for patients from 12 to 17 years). Graft survival at 1 year among the surgical indication categories was 28% for congenital opacities, 66% acquired nontraumatic opacities and 35% acquired traumatic opacities.
Pediatric keratoplasty has a fair overall prognosis for graft survival of approximately 50% at 1 year. Even thoug there are differences among age groups and surgical indications.
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