Indications and Techniques of Pediatric Keratoplasty in Eastern China From 2008 to 2017

Purpose: To explore the transition of indications and surgical techniques of pediatric keratoplasty in Eastern China in the past 10 years. Methods: Medical charts of 1026 pediatric patients (1059 eyes) who underwent keratoplasties at the Eye, Ear, Nose and Throat Hospital of Fudan University from 2008 to 2017 were retrospectively reviewed. The indications for keratoplasty and the surgical techniques were collected and analyzed. Results: A total of 634 infants (≤3 years) (661 eyes), 207 toddlers and older children (4–12 years) (211 eyes), and 185 adolescents (13–18 years) (187 eyes) were included. The median age at the time of surgery was 2 years. The surgical indications were composed of congenital abnormalities (74.6%), acquired nontraumatic diseases (16.5%), acquired traumatic diseases (3.6%), and regraft (5.3%). Only congenital abnormality had a significant growing trend during this decade (P = 0.023). Keratoconus (67.2%) exceeded infectious keratitis (14.9%) and was the most common acquired nontraumatic cause in our study. The annual number of pediatric keratoplasties increased significantly from 40 cases in 2008 to 190 cases in 2017 (P
Source: Cornea - Category: Opthalmology Tags: Clinical Science Source Type: research