title: Penetrating keratoplasty as a globe-saving procedure in fragile cornea.
abstract: OBJECTIVE
  To report a case of fragile cornea associated with osteogenesis imperfecta type I in which primary penetrating keratoplasty was done as a tectonic procedure.
  
  
  METHODS
  A 6-year-old boy with osteogenesis imperfecta type I presented with a corneal laceration in his right eye following minor trauma. Since wound repair was not possible due to tissue loss, he underwent a primary penetrating keratoplasty.
  
  
  RESULTS
  Postoperatively, the eye healed well without any wound leak. The boy had uneventful suture removal 10 weeks following surgery.
  
  
  CONCLUSIONS
  Primary penetrating keratoplasty is a viable option to restore ocular integrity in fragile corneas following trauma when tissue loss precludes simple repair.
authors.affiliation: Sankara Nethralaya, 18 College Road, Chennai 600 006, Tamil Nadu, India. information@sankaranethralaya.org
authors.forename: Radhika
authors.initials: R
authors.lastname: Natarajan
authors.forename: Gaurav Y
authors.initials: GY
authors.lastname: Shah
authors.forename: Srinivas K
authors.initials: SK
authors.lastname: Rao
authors.forename: Prema
authors.initials: P
authors.lastname: Padamanabhan
mesh_terms: D002648:Child; D003316:Corneal Diseases / Q000209:etiology / Q000601:surgery*; D065306:Corneal Injuries; D005131:Eye Injuries / Q000209:etiology / Q000601:surgery*; D006801:Humans; D015948:Keratoplasty, Penetrating; D022125:Lacerations / Q000209:etiology / Q000601:surgery*; D008297:Male; D010013:Osteogenesis Imperfecta / Q000150:complications / Q000601:surgery*