Oversized grafts in children

Abstract

Objective: To evaluate the efficacy of oversized corneal grafts in the pediatric age group. Design: Prospective, nonrandomized clinical trial. Participants and Intervention: Forty pediatric patients with unilateral or bilateral corneal opacification of congenital or acquired origin underwent corneal grafting surgery over a period of 2 years using donor corneal buttons oversized by 1 mm. Main Outcome Measures: The parameters evaluated were indications for keratoplasty, graft clarity, visual acuity, keratometry, spherical equivalent, anterior chamber depth, and complications. Results: Corneal ulceration was the most common cause of corneal opacification (25%), followed by trauma (20%) and scle..