Corneal transplant for Peters’ anomaly

Peters’ anomaly is an inborn error in the development of the eyeball that may affect one or both eyes.
Corneal transplantation involves replacing the opaque cornea with a healthy cornea from a donor.
If cataracts (clouding of the crystalline lens) are present, they are removed during the same operation.

In bilateral cases of Peters’ anomaly, corneal transplantation aims to improve visual acuity.

The surgery is typically a corneal transplant.
It is performed as an outpatient procedure under general anaesthesia.
Surgery lasts 40 to 50 minutes.
Post-surgery care involves administering eye drops for several months.
The child must avoid overexertion for three weeks, after which normal activities can resume.

Surgery may result in significant improvement in visual acuity, but sometimes the outcomes are less evident.
Deciding whether or not to proceed with surgery and determining the optimal timing can be challenging, particularly since it is difficult to assess what young children can see.
If the patient also has glaucoma, it must be treated.