Peters anomaly: An overview

Autor: Arpita Khasnavis, Merle Fernandes
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Taiwan Journal of Ophthalmology, Vol 13, Iss 4, Pp 434-442 (2023)
Druh dokumentu: article
ISSN: 2211-5056
2211-5072
DOI: 10.4103/tjo.TJO-D-23-00065
Popis: Peters anomaly (PA) is a rare, often bilateral, congenital corneal opacity, usually with a sporadic inheritance pattern, characterized by corneal opacities and irido-corneal or lenticular-corneal adhesions with a defect in the Descemet's membrane, occurring due to anterior segment dysgenesis during fetal development. Due to other ocular and systemic comorbidities, a team comprising pediatric cornea, glaucoma, and strabismus specialists in addition to a pediatrician and geneticist is necessary for the appropriate management of these children. Since the outcome of pediatric penetrating keratoplasty is variable and has a higher chance of failure when accompanied by additional procedures, such as lensectomy and vitrectomy, minimally invasive alternatives are increasingly being offered to these patients. Of note is the recently reported novel procedure: selective endothelialectomy for PA, which avoids the need for a corneal transplant and results in gradual clearing of the corneal opacity over time. In this overview, we aimed to describe the etiology, classification, pathophysiology, histopathology, clinical features, and management of PA.
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