Corneal transplantation in an infant with corneal dermoid.
A 1-month-old infant had a protuberant congenital corneal dermoid that extended into the anterior chamber. The dermoid was excised in two stages. A 12-mm lamellar keratectomy was followed three months later by a smaller (8-mm) penetrating keratoplasty. This technique minimized the complications associated with large corneal transplants and increased the chance of long-term success. The graft has remained transparent and the posterior segment appears to be normal. The infant can maintain constant fixation and recognize small objects and crawls without difficulty.
D000867:Anterior Chamber / Q000601:surgery; D003315:Cornea / Q000648:ultrastructure; D003316:Corneal Diseases / Q000601:surgery*; D016039:Corneal Transplantation; D003884:Dermoid Cyst / Q000601:surgery* / Q000648:ultrastructure; D005134:Eye Neoplasms / Q000601:surgery* / Q000648:ultrastructure; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007429:Intraocular Pressure; D008854:Microscopy, Electron