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ISSN 1561-3070 (Electronic)

2016, Number 1

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Rev Cub Oftal 2016; 29 (1)

Indications for pediatric keratoplasty in Cuba: a fifteen-year study

Moreno RME, Escalona LE, Pérez PZ, López HS, Castillo PAC

Language: Spanish
References: 23
Page: 40-48
PDF size: 104.46 Kb.


ABSTRACT

Objective: to describe the characteristics of pediatric keratoplasty.
Method: a descriptive cross-sectional study was conducted in "Ramón Pando Ferrer" Cuban Institute of Ophthalmology. The sample consisted of pediatric patients who underwent corneal transplantation from 1998 to 2012. The study variables were age, sex, cause and objective of transplantation and surgical technique.
Results: in this group, 35,2 % of patients aged 11 to 15 years-old followed by the 6 to 10 y range. Males predominated (62,6 %). The cause of 89,4 % of the transplants was acquired corneal opacities, particularly the corneal leukoma (58,1 %). Regarding surgical techniques, 88,3 % were penetrating keratoplasties and 91% of transplantations were performed for optical reasons.
Conclusions: pediatric keratoplasty was mainly performed in the study period for visual restoration due to acquired corneal opacities in children aged 6 to 15 years The most common surgical technique was the penetrating keratoplasty.


REFERENCES

  1. Rodríguez de Paz U, López Hernández SM, Castillo Pérez A, Escalona Leiva E. Queratoplastia endotelial. En: Río Torres M, Capote Cabrera A, Hernández Silva JR, Eguías Martínez F, Padilla González CM. Oftalmología: criterios y tendencias actuales. La Habana: Editorial Ciencias Médicas; 2009:154-8.

  2. Arias Díaz A, Pons Castro L. Ambliopía: consideraciones terapéuticas actuales. En: Río Torres M, Capote Cabrera A, Hernández Silva JR, Eguías Martínez F, Padilla González CM. Oftalmología: criterios y tendencias actuales. La Habana: Editorial Ciencias Médicas; 2009:727-32.

  3. Arffa RC, Stulting RD. Surgical management of corneal opacities in children. En: Tasman W. Duane´s Clinical Ophthalmology. CD ROM. Lippincott Williams & Wilkins; 2004.

  4. García F, Calderón DI, Tlacuilo JA. Transplante corneal pedíatrico. Rev Mex Oftalmol. 2008;82(1):24-7.

  5. Zaidman G. Pediatric Keratoplasty. En: Vajpayee RB. Corneal Transplantation. New Delhi,India: Jaypee Brothers; 2002. p. 201-7.

  6. Huang C, O'Hara M, Mannis MJ. Primary pediatric keratoplastly: Indications and outcomes. Cornea. 2009;28:1003-8.

  7. Moreno Ramírez ME, López Hernández S, Escalona Leyva E, Castillo Pérez A, Padilla González C, Vilches Lescaille D. Relación donante-receptor en la evolución de la queratoplastia. Rev Cubana Oftalmol [Internet]. 2008 [citado 20 de diciembre de 2015]; 21(1). Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid= S0864-21762008000100010&lng=es

  8. Ashar JN, Pahuja S, Ramappa M, Vaddavalli PK, Chaurasias S, Gargj P. Deep anterior lamellar Keratoplasty in children. Ophthalmology. 2013;155:570-4.

  9. Sharma N, Prakash G, Titiyal JS, Tandon R, Vajpayee RB. Pediatric Keratoplasty in India: Indications and outcomes. Cornea. 2007;26(7):810-13.

  10. Weiyun S, Huixiang J, Suxia L, Mingna L, Lixin X. Indications of paediatric keratoplasty in north China. Clin Experim Ophthalmol. 2007;35:724-7.

  11. Lowe MT, Keane MC, Coster DJ, Williams KA. The outcome of corneal transplantation in infants, children and adolescents. Ophthalmology. 2011;118(3):492-7.

  12. Al-Ghamdi A, Al-Rajhi A. Primary pediatric keratoplasty: indications, graft survival and visual outcome. J AAPOS. 2007;11(1):41-7.

  13. Muñoz M, Valderrama TY, Aguirre OM, Rodríguez M, Ramírez MA. Resultados visuales en pacientes pediátricos con trasplante de córnea: reporte de 10 años de experiencia. Bol Med Hosp Infant Mex. 2012;69(2):91-6.

  14. Ashar JN, Latha KM, Vaddavalli PK. Descemet's stripping endothelial keratoplasty (DSEK) for children with congenital hereditary endothelial dystrophy: surgical challenges and 1-year outcomes. Graefes Arch Clin Exp Ophthalmol. 2012;250:1341-5.

  15. Escalona Leyva E, Pérez Parra Z, Castillo Pérez A, Jareño Ochoa M, López Hernández SM. Perfil epidemiológico del donante y del receptor en trasplante de córnea en el Instituto Cubano de Oftalmología "Ramón Pando Ferrer". Rev Cubana Oftalmol. 2014;27(4):558-68.

  16. Edwards M, Clover GM, Brookes N, Pendergrast D, Chaulk J, McGhee CN. Indications for Corneal Transplantation in New Zealand: 1991-1999. Cornea. 2002;21(2):152-5.

  17. Vajpayee RB, Ramu M, Panda A, Sharma N, Tabin GC, Anand JR. Oversized Grafts in Children. Ophthalmology. 1999;106:829-32.

  18. Ramappa M, Ashar J, Vaddavalli PK, Chaurasia S, Murthy SI. Endothelial keratoplasty in children: surgical challenges and early outcomes. Br J Ophthalmol. 2012;96(8):1149-51.

  19. Limaiem R, Chebil A, Baba A, Youssef NB, Mghaieth F, Matri LE. Pediatric penetrating keratoplasty: indications and outcomes. Tansplantation proceedings. 2011;43:649-51.

  20. Kusumesh R, Vanathi M. Graft rejection in pediatric penetrating keratoplasty: Clinical features and outcomes. Oman J Ophthalmol. 2015;8(1):33-7.

  21. Ramappa M, Pehere NK, Murthy SI, Chaurasia S, Rao HL, Sangwan VS. Rotational autokeratoplasty in pediatric patients for nonprogressive paracentral corneal scars. Ophthalmology. 2012;119(12):2458-62.

  22. Harding SA, Nischal KK, Upponi-Patil A, Fowler DJ. Indications and outcomes of deep anterior lamellar keratoplasty in children. Ophthalmology. 2010;117(11):2191-5.

  23. McClellan K, Lai T, Grigg J, Billson F. Penetrating keratoplasty in children: visual and graft outcome. Br J Ophthalmol. 2003;87:1212-4.




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