• Cornea · Mar 2003

    Case Reports

    Penetrating keratoplasty as a globe-saving procedure in fragile cornea.

    • Radhika Natarajan, Gaurav Y Shah, Srinivas K Rao, and Prema Padamanabhan.
    • Sankara Nethralaya, 18 College Road, Chennai 600 006, Tamil Nadu, India. information@sankaranethralaya.org
    • Cornea. 2003 Mar 1; 22 (2): 164-5.

    PurposeTo report a case of fragile cornea associated with osteogenesis imperfecta type I in which primary penetrating keratoplasty was done as a tectonic procedure.MethodsA 6-year-old boy with osteogenesis imperfecta type I presented with a corneal laceration in his right eye following minor trauma. Since wound repair was not possible due to tissue loss, he underwent a primary penetrating keratoplasty.ResultsPostoperatively, the eye healed well without any wound leak. The boy had uneventful suture removal 10 weeks following surgery.ConclusionPrimary penetrating keratoplasty is a viable option to restore ocular integrity in fragile corneas following trauma when tissue loss precludes simple repair.

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