Universität zu Köln

Schlereth, Simona L., Gietzelt, Caroline ORCID: 0000-0002-9145-7385, Zwingelberg, Sarah, Matthaei, Mario, Bachmann, Bjoern and Cursiefen, Claus (2022). Surgical treatment options for congenital/infantile corneal opacities and anterior segment dysgenesis. Ophthalmologe, 119 (5). S. 453 - 462. HEIDELBERG: SPRINGER HEIDELBERG. ISSN 1433-0423

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Abstract

Background Due to the risk of amblyopia congenital and infantile corneal opacities have a narrow therapeutic window, frequently with a complex surgical treatment. Objective The present study gives an overview of the current treatment options for congenital and infantile corneal opacities. Methods The results of a literature search are presented and own clinical data and examples are shown. Results In children ophthalmologic operations are surgically more demanding and the prognosis is generally worse. Surgical options include phototherapeutic keratectomy, crosslinking, corneal sutures, sectoral iridectomy, block excision and lamellar, penetrating, and auto-keratoplasty. An equally important part of the treatment is conservative treatment, when necessary with bandage lenses, glasses, contact lenses and occlusion. Discussion Whenever possible treatment of congenital and infantile corneal opacities should be limited to the affected layers/areas. Nevertheless, children and parents have to be prepared for many examinations, sometimes with the patient under anesthesia and should be well-informed about the prognosis and the risks.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Schlereth, Simona L. UNSPECIFIED UNSPECIFIED UNSPECIFIED Gietzelt, Caroline UNSPECIFIED orcid.org/0000-0002-9145-7385 UNSPECIFIED Zwingelberg, Sarah UNSPECIFIED UNSPECIFIED UNSPECIFIED Matthaei, Mario UNSPECIFIED UNSPECIFIED UNSPECIFIED Bachmann, Bjoern UNSPECIFIED UNSPECIFIED UNSPECIFIED Cursiefen, Claus UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-657267
DOI:	10.1007/s00347-022-01612-8
Journal or Publication Title:	Ophthalmologe
Volume:	119
Number:	5
Page Range:	S. 453 - 462
Date:	2022
Publisher:	SPRINGER HEIDELBERG
Place of Publication:	HEIDELBERG
ISSN:	1433-0423
Language:	German
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language COLLAGEN CROSS-LINKING; AUTOMATED ENDOTHELIAL KERATOPLASTY; OPTICAL COHERENCE TOMOGRAPHY; PHOTOTHERAPEUTIC KERATECTOMY; PENETRATING KERATOPLASTY; LAMELLAR KERATOPLASTY; CHILDREN; KERATOCONUS; INFANTS Multiple languages Ophthalmology Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/65726