TRANSFIXIANT CORNEAL GRAFT IN PRIMITIVE C ONGENITAL GLAUCOMA

Purpose We present preliminary research on penetrating keratoplasty in corneal dystrophy secondary to congenital Thf aim was To analyse rhp functional and anatomic results of this morbid condition where visual prognosis is usually poor. Patients and methods Six cases of congenita l glaucoma in which the ocular pressure is controled were studied. Age varied from 10 months to 11 years, the medium age was 47.7 months (SD : 42.8). These patients underwent penetrating keratoplasty, Recession varied from 3 months to 29 months, with a medium recession of 18.4 mon ths (SD: 11.54). Results Anatomic results: the graft remained transpar ent in 5 eyes. Some postoperative complications were noticed: ocular h ypertonia medically treated in one case, minor uveitis in one case, to tal cataract operated by hypertonia with a final outcome of ophthalmom alacia, buphtalmia (31.5 of diameter and ocular tonus at 7 mmHg). Func tional results: on amelioration elf visual acuity was obtained in 5 of 6 cases. Conclusion The anatomic and functional results were satisfac tory. Ocular pressure must be normalised before keratoplasty. Importan t buphtalmia constitutes one contra-indication ro this intervention. H ypotonia would appear To be a factor of poor prognosis.