Abstract

Purpose: This study describes the clinical spectrum and surgical management of corneal keloids in children
Methods: keloids between 2008 and 2022 was retrospectively reviewed for the etiology , time of the onset, duration of opacity, pre-operative visual acuity, type of keloid, systemic associations, surgical interventions, re-intervention and the duration of follow-up.
Results: Twenty-two eyes with keloids were categorized into congenital (7), primary (6), and secondary (9). Systemic associations: Rubin Stein Tayebi syndrome (3), presumed Lowes syndrome (1), and Ehlers Danlos syndrome (1). Twenty-two eyes of 18 patients underwent deep anterior lamellar keratoplasty (14), penetrating keratoplasty (7) at a median age of 0.8 (IQR, 0.50 to 1.28) years. The cumulative long-term graft survival was 94%, 86%, and 86% at 1, 3, and 10 years, respectively. Complications: DMD (1), graft infection (2), allograft rejection (1), recurrence (1), cataract formation (4), and secondary glaucoma (2).