DR.DR ABHILASHA SANORIA

DR. RITU ARORA, DR.PARUL JAIN, DR. PALAK GUPTA

Abstract

PURPOSETo analyse outcomes of DALK for paediatric keratoconus in patients with VKC

METHODS Retrospective analysis was done for 10 eyes of patients aged 9-16 years(mean 13.5years).DALK was performed following a decrease in visual acquity less than 20/200. The Reviewed parameters included duration of follow up post DALK, best corrected visual acuity(BSCVA), refractive error, complications, cumulative graft survivalRESULTSFive eyes had giant papillae preoperatively managed with topical 0.1% tacrolimus.Big bubble technique was used to perform pneumatic dissection. Mean postoperative BSCVA was 0.3 log MAR at the end of a follow up period of 36.4 months and the rejection free graft survival rates were 100%. Vascularization of suture tracts and stitch abscesses were encountered more frequently in eyes with severe VKC

CONCLUSIONDALK is effective and safe for the long term management of such cases. However, a close follow up is needed especially for the ones with severe VKC preoperatively