Penetrating keratoplasty as a globe-saving procedure in fragile cornea.
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.
Natarajan
Radhika
R
Sankara Nethralaya, 18 College Road, Chennai 600 006, Tamil Nadu, India. information@sankaranethralaya.org
Shah
Gaurav Y
GY
Rao
Srinivas K
SK
Padamanabhan
Prema
P
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*