[The autologous ipsilateral rotating penetrating keratoplasty: an early surgical procedure to prevent deep irreversible amblyopia in Peters anomaly].
OBJECTIVE
It is a challenge to prevent irreversible amblyopia in infants suffering from Peters anomaly. In some cases of centrally located corneal opacifications an optical sector iridectomy can not lead to a clear optical axis. The homologous penetrating keratoplasty as early surgical procedure has shown an extremely poor outcome with a high risk of irreversible graft failure. We report on the autologous ipsilateral rotating penetrating keratoplasty in an eight-week-old infant suffering from Peters anomaly.


METHODS
An autologous ipsilateral rotating penetrating keratoplasty was performed in an eight-week-old infant suffering from Peters anomaly to prevent irreversible amblyopia.


RESULTS
After a follow-up time of 8 months we saw a clear graft within the optical axis without any complications in wound healing. We removed the single sutures two months after keratoplasty. Postoperative astigmatism could be corrected first by fitting a special nursery contact lens and after reduction of astigmatism because of suture removal we fitted special nursery glasses. The intraocular pressure remained within the normal range during the follow-up period.


CONCLUSIONS
The autologous ipsilateral rotating penetrating keratoplasty should be considered superior to homologous keratoplasty in infants with Peters anomaly if sector iridectomy is not advisable because of a central corneal opacification. Resulting high refractive errors can be successfully corrected by special contact lens fitting or by nursery glasses.
Grünauer-Kloevekorn
C
C
Klinik und Poliklinik für Augenheilkunde, Martin-Luther-Universität, Halle-Wittenberg. claudia.gruenauer-kloevekorn@medizin.uni-halle.de
Bau
V
V
Weidlich
R
R
Duncker
G
G
D000550:Amblyopia / Q000151:congenital / Q000517:prevention & control*; D003318:Corneal Opacity / Q000151:congenital* / Q000175:diagnosis; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D032801:Iridectomy; D015948:Keratoplasty, Penetrating / Q000379:methods*; D008297:Male; D008850:Microphthalmos / Q000175:diagnosis*; D013577:Syndrome