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Indian J Ophthalmol. 2019 Jul;67(7):1195-1197. doi: 10.4103/ijo.IJO_1665_18.

Mushroom keratoplasty and contact lens application: Strategy for management of a pediatric eye injury.

Author information

1
Eye Clinic San Giuseppe Hospital, Milan, Italy.
2
Eye Clinic San Giuseppe Hospital; Department of Clinical Science and Community Health, University of Milan, Italy.

Abstract

We show the challenging visual rehabilitation of a penetrating eye injury in a child with wide central corneal scar and aphakia. A 9-year-old male patient underwent combined surgery, including membranectomy with pupilloplasty and mushroom penetrating keratoplasty. Corneal transparency was restored; aphakia and irregular astigmatism were corrected first with a rigid gas-permeable contact lens (CL) and then, successfully, with hybrid CL. We discuss the surgical treatment used to restore corneal transparency and the choice of the best CL to overcome irregular astigmatism and aphakia.

KEYWORDS:

Aphakia; contact lenses; corneal transplantation; pediatric eye injury

PMID:
31238462
DOI:
10.4103/ijo.IJO_1665_18
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