Femtosecond Assisted Deep Lamellar Keratoplasty in a 4½ Year Old Child for Traumatic and Infectious Corneal scar- A Case Report
Journal Title: Open Journal of Pediatrics and Child Health - Year 2015, Vol 1, Issue 1
Abstract
Purpose: To report a case of central deep corneal scar secondary to trauma and subsequently resolved fungal infection in a 4½ year old and secondary amblyopia treated with femtosecond-assisted deep lamellar keratoplasty (FALK). Methods: A 4½ year old male patient with reduced vision and photophobia as a result of a centrally dense mid-stromal corneal scar in the right eye was referred to Gavin Herbert Eye Institute, University of California, Irvine, by an out of state ophthalmologist for consideration of femtosecond-assisted laser lamellar keratoplasty. Following a complete ocular examination, FALK was performed under general anesthesia. Results: The original non-perforating cornea trauma had occurred 10-months previously while the child had accidentally run into a branch of a tree, penetrating the right central cornea and resulting in Aspergillus corneal infection. The penetrating cornea injury was repaired and the ensuing infection was treated with a course of topical antifungal medications. After resolution of the infection, a deep and dense mid-stromal scar, obstructing visual axis, had developed. Irregular astigmatism and secondary amblyopia were present. The zigzag pattern FALK using IntralaseTM laser (AMO, Santa Ana, CA) for both donor and recipient cuts was performed.
Authors and Affiliations
Pirouzian Amir
Keywords
Related Articles
- EP ID EP554284
- DOI 10.17352/2640-7612.000004
- Views 23
- Downloads 0
Diagnosis and Treatment of Supraventricular Tachyarrhythmia in Pediatric Population: A Review Article
Supraventricular tachyarrhythmia (SVT) is the most common tachyarrhythmia in pediatric patients and accounts for more than 90% of pediatric arrhythmias. As many as 16 different mechanisms of pediatric SVT exist; we focus...
Isolated Conjugated Hyperbilirubinemia in Seriously Ill Children – Don’t Forget Sepsis!
Background: Jaundice is frequently associated with extrahepatic systemic infections. The important causes include increased bilirubin levels due to hemolysis, hepatic dysfunction, reduced excretion and cholestasis. Sepsi...
Autism and Vitamin D
Autism spectrum disorder (ASD) is a complex neurodevelopmental syndrome. It begins before three years of age. ASD is characterized by pervasive deficits in social interaction, impairment in verbal and nonverbal communica...
Retinoblastoma (RB) in Saudi Arabia- Retrospective Comparative Review of a Registry
Purpose: Published data regarding retinoblastoma in Saudi Arabia (KSA) is sparse. The study will present comparison of clinical and pathologic features, and evolving patterns of the treatment during 1983-1997 (Early grou...
Prevalence of Serological Markers of TORCH Infections in Biliary Atresia and Other Neonatal Cholestatic Disorders
Background: Viral infections, congenitally or perinatally acquired, have been associated with neonatal cholestasis. Investigators have suggested a similar link to biliary atresia (BA). Aim: The aim of the current study...