Dr. MURALEEDHARA R.

Abstract

Purpose: This study describes the long-term clinical outcomes of SEPA while preserving the DM, a relatively new technique to manage a select group of children with PA. Methods: 38 eyes of 30 children who had a visually significant posterior corneal defect due to the Peters anomaly and had prospectively undergone SEPA between 2019 and 2022. Results: Median post-operative follow up of 0.53 (IQR, 0.16- 0.99) yrs. All eyes maintained a successful outcome. Surgical technique includes: SEPA (14, 36.8%), SEPA + optical iridectomy (23, 60.5%) and SEPA+ lensectomy (1, 2.6%). Mean pre-operative and final log MAR VA (visual acuity) was 2.71 ± 0.15 (range: 1.3- 3.0) and 2.46 ± 0.14 (range: 0.9- 3.0) respectively.

Conclusion: SEPA is a safe and effective technique in select cases of posterior corneal defect due to PA. This could be a potential surgical alternative to pediatric keratoplasty or optical iridectomy in children with a visually significant central corneal opacification due to PA.

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