RT Journal Article
T1 Outcomes of Corneal Transplant in Childhood Glaucoma
A1 Vidal Villegas, Beatriz
A1 Burgos Blasco, Bárbara
A1 Ariño Gutierrez, Mayte
A1 Cuiña Sardiña, Ricardo
A1 Méndez Hernández, Carmen Dora
A1 Torres González, Juan Ignacio
A1 Méndez Fernández, Rosalía
A1 Díaz Valle, David
A1 García Feijoo, Julián
AB Précis: Childhood glaucoma produces alterations in the postnatal development and function of various ocular structures, including the cornea. Childhood glaucoma patients present lower corneal transplant survival rates. Our series shows outcomes of corneal transplant in childhood glaucoma with survival rates of 29% at 2 years.Objective: To investigate the surgical outcome of different types of keratoplasty in eyes with childhood glaucoma.Patients and Methods: A retrospective review was made of the medical records from 17 eyes of 15 patients who were diagnosed with childhood glaucoma and received a corneal transplantation between January 2010 and July 2020. Patient demographics, intraocular pressure, previous ocular surgery, comorbidities, corneal transplant surgery, and follow-up outcome were collected. The primary efficacy endpoint was graft survival (in months) until failure, the latter being considered as irreversible loss of corneal transparency. Secondary efficacy points were the need for an increase in topical hypotensive therapy and the need for additional surgery.Results: Seventeen eyes of 15 patients were included, 11 eyes (10 patients) with primary congenital glaucoma and 6 with other types of childhood glaucoma. Corneal transplantation was performed at the mean age of 23.76 ± 14.86 years. At the time of the transplantation, the number of topical medications was 1.35 ± 1.27, intraocular pressure was 15.00 ± 8.34 mm Hg, and patients had received up to 7 glaucoma surgeries. Descemet stripping automated endothelial keratoplasty was performed in 13 eyes (76%) and penetrating keratoplasty in 4 (24%). After surgery, 7 (41%) eyes required increased topical treatment and 2 (12%) glaucoma surgery. Twelve eyes (71%) developed graft failure at 24 months, the mean time of survival being 13.88 ± 8.25 months.Conclusions: Management of corneal decompensation in childhood glaucoma poses a challenge. In this series of childhood glaucoma with corneal transplantations, the survival rate was 29% at 24 months.
PB Wolters Kluwer Health, Inc.
SN 1057-0829
YR 2023
FD 2023-08-04
LK https://hdl.handle.net/20.500.14352/121425
UL https://hdl.handle.net/20.500.14352/121425
LA eng
NO Vidal-Villegas, Beatriz MD, PhD*,†; Burgos-Blasco, Barbara MD, PhD*,†; Ariño-Gutierrez, Mayte MD*,†; Cuiña Sardiña, Ricardo MD, PhD*; Mendez-Hernandez, Carmen Dora MD, PhD*; Torres-Gonzalez, Juan Ignacio RN, MSc, PhD†,‡; Mendez-Fernandez, Rosalía MD, PhD*; Díaz-Valle, David MD, PhD*,§; García-Feijóo, Julián MD, PhD*,§. Outcomes of Corneal Transplant in Childhood Glaucoma. Journal of Glaucoma 32(8):p 701-707, August 2023. | DOI: 10.1097/IJG.0000000000002234
DS Docta Complutense
RD 19 jun 2025