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CASE REPORT
Year : 2019  |  Volume : 67  |  Issue : 7  |  Page : 1195-1197

Mushroom keratoplasty and contact lens application: Strategy for management of a pediatric eye injury


1 Eye Clinic San Giuseppe Hospital, Milan, Italy
2 Eye Clinic San Giuseppe Hospital; Department of Clinical Science and Community Health, University of Milan, Italy

Correspondence Address:
Dr. Saverio V Luccarelli
Via San Vittore 12, 20123, Milano
Italy
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_1665_18

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We show the challenging visual rehabilitation of a penetrating eye injury in a child with wide central corneal scar and aphakia. A 9-year-old male patient underwent combined surgery, including membranectomy with pupilloplasty and mushroom penetrating keratoplasty. Corneal transparency was restored; aphakia and irregular astigmatism were corrected first with a rigid gas-permeable contact lens (CL) and then, successfully, with hybrid CL. We discuss the surgical treatment used to restore corneal transparency and the choice of the best CL to overcome irregular astigmatism and aphakia.


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