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The challenging management of paediatric corneal transplantation: an overview of surgical and clinical experiences

Poster Details

First Author: M.Fortunato ITALY

Co Author(s):    A. Di Zazzo   S. Crugliano   S. Bonini              

Abstract Details

Purpose:

Pediatric keratoplasty is an immense challenge because of the technical complexity of the procedure and the high risk of rejection in young graft recipients. Our aim is to describe the major indications and appropriate timing of corneal transplantation intervention, including a report of our experience and surgical tips, in conjunction with the current literature.

Setting:

- IRCSS Bambino Ges�Ã�¹ Pediatric Hospital, Rome, Italy - IRCCS G.B. Bietti Foundation ONLUS, Rome, Italy

Methods:

Review of the literature on indications for keratoplasty in pediatric patients classified as: congenital, traumatic and acquired non-traumatic opacities. We additionally explore the challenges corneal surgeons face in performing this type of surgery and review the most pressing transplant-related problems and their management.

Results:

Outcomes after pediatric keratoplasty, in terms of visual development, restoration and clarity of the graft, are influenced by peri-operative local and systemic conditions and factors, and also by intraoperative management of the transplantation procedure itself.

Conclusions:

Pediatric corneal transplantation is a critical tool for visual restoration and development in young patients with corneal opacities, particularly during the critical period of visual development. Successful management of the significant challenges associated with pediatric keratoplasty requires customized clinical and surgical management of each patient with particular attention paid to proper post-operative rehabilitation.

Financial Disclosure:

NONE

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