Long-term outcome after superficial keratectomy in an infant with epidermolysis bullosa.
A 5-month-old boy presented with a congenital whitish raised lesion in the central cornea of the left eye. The child had a tendency to develop bullous eruptions on the skin with trivial trauma. The patient's father had a similar history of skin lesions. Because the lesion was in the central visual axis, a superficial anterior keratectomy with an amniotic membrane grafting was performed. The lesion healed well, restoring the corneal transparency and resulting in good visual acuity. When the boy was 4 years of age, his cornea was clear, and best-corrected visual acuity in the left eye was 20/60. There was no recurrence of the lesion.
Cornea and Anterior Segment Service, LV Prasad Eye Institute, Hyderabad, Telangana, India. Electronic address: sunita@lvpei.org.
Sunita
S
Chaurasia
Cornea and Anterior Segment Service, LV Prasad Eye Institute, Hyderabad, Telangana, India.
Muralidhar
M
Ramappa
Ocular Pathology Services, LV Prasad Eye Institute.
Dilip
D
Mishra
D000650:Amnion / Q000637:transplantation; D003316:Corneal Diseases / Q000473:pathology / Q000601:surgery*; D004820:Epidermolysis Bullosa / Q000473:pathology / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D000074431:Keratectomy / Q000379:methods*; D054018:Lasers, Excimer; D008297:Male; D016896:Treatment Outcome; D014792:Visual Acuity / Q000502:physiology