Pediatric corneal transplantation: techniques, challenges, and outcomes.
Pediatric corneal transplant is a highly demanding and technically challenging procedure for the cornea surgeon in today's era. These cases pose unique challenges in clinical and surgical management. The indications of pediatric corneal transplant can be therapeutic, tectonic, optical, and cosmetic....
| Publicado en: | Therapeutic Advances in Ophthalmology pp. 1 - 26 |
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| Autores principales: | , , , , , , , , , |
| Formato: | pictorial review tables/charts Journal Article |
| Publicado: |
Sage Publications Inc.
3/25/2024
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=176250330&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 176250330 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 25158414 LAW0 jtl: Therapeutic Advances in Ophthalmology issn: 25158414 maglogo: Y pubinfo: dt: 3/25/2024 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 176250330 176250330 176250330 10.1177/25158414241237906 176250330 ppf: 1 ppct: 25 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Pediatric corneal transplantation: techniques, challenges, and outcomes. aug: au: Gurnani, Bharat Kaur, Kirandeep Chaudhary, Sameer Kaur, Ruminder Preet Nayak, Swatishree Mishra, Deepak Balakrishnan, Harinikrishna Parkash, Rohit Om Morya, Arvind Kumar Porwal, Amit affil: Conceptualization, ASG Eye Hospital, Jodhpur, Rajasthan, India sug: subj: Corneal Transplantation Methods Treatment Outcomes Vision Disorders Therapy Pediatrics Child Pediatric Care Graft Rejection Allografts Recovery Visual Perception Rehabilitation of Persons with Vision Loss Child: 6-12 years ab: Pediatric corneal transplant is a highly demanding and technically challenging procedure for the cornea surgeon in today's era. These cases pose unique challenges in clinical and surgical management. The indications of pediatric corneal transplant can be therapeutic, tectonic, optical, and cosmetic. Pediatric patients undergoing corneal transplants are at a high risk of graft infection, failure, rejection, dehiscence, and amblyopia due to young age, robust immune system, increased incidence of trauma, and compliance issues. The other factors contributing to graft failure can be allograft rejection, secondary glaucoma, corneal vascularization, multiple surgeries, vitreous prolapse, and lack of treatment compliance. A successful corneal transplant in children depends on meticulous preoperative evaluation, uneventful surgery, the expertise of a corneal surgeon, and regular and timely postoperative follow-up. Therapeutic and optical penetrating keratoplasty are the most commonly performed transplants in children. However, with the advancements in surgical technique and management protocol, the current focus has shifted toward lamellar keratoplasty. Lamellar keratoplasty offers early visual recovery and potentially fewer complications. Visual rehabilitation through corneal transplant in otherwise blind eyes can be a boon for the children. Recently, keratoprostheses have been promising in children with multiple graft failures. The current review gives insights into epidemiology, etiology, indications, clinical characteristics, investigations, management options, recent advances, and the future of pediatric corneal transplants. As surgical techniques continue to grow and comprehension of pediatric corneal transplants is improving, we can safeguard these eyes with the best possible anatomical and functional outcomes. pubtype: Academic Journal doctype: pictorial review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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