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DALK viable alternative in children with corneal pathologies
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Deep anterior lamellar keratoplasty yields good visual outcomes in children with stromal corneal pathologies, according to a study.
The retrospective, interventional case series included 26 eyes of 26 children who underwent DALK for stromal corneal pathologies including keratoconus, microbial keratitis, corneal scar, corneal keloid, chemical injury and dermoid.
Mean patient age was 7.82 years. Patients were followed between 1 week and 7.3 years.
A big bubble was achieved in three eyes while 23 eyes underwent manual dissection.
Final visual outcomes varied from counting fingers to 20/20.
Early complications included Descemet’s membrane detachment in two cases while later complications included three cases of post-traumatic graft dehiscence, one case of lens extrusion, five cases of suture-related bacterial graft infection, three cases of recurrent herpes simplex keratitis in the graft, two cases with stromal keratitis and one case of endotheliitis. All cases were successfully managed.
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