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标题：Keratolenticular adhesion removal for type 2 Peters anomaly: a case report
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作者：Zhangliang Li ; Rui Zou ; Yune Zhao 等
期刊名称：Eye and Vision
印刷版ISSN：2326-0254
出版年度：2020
卷号：7
期号：1
页码：1-4
DOI：10.1186/s40662-020-00203-5
出版社：BioMed Central
摘要：Type 2 Peters anomaly is a rare anterior segment disorder characterized by central corneal leukoma with keratolenticular adhesion and cataract. Performing cataract surgery without corneal tissue transplantation in patients of type 2 Peters anomaly is extremely rare and challenging. We present a case of type 2 Peters anomaly treated by peeling off the adhesion without penetrating keratoplasty (PKP), in which restoration of corneal transparency is observed. An 11-month-old female infant of type 2 Peters anomaly presented with bilateral corneal opacity with distinct demarcation, keratolenticular adhesion and cataract, which was first noted at the age of 3 months. By peeling off the adhesion from corneal endothelium combined with lensectomy and vitrectomy, there was a gradual reduction in corneal opacity and improvement in visual acuity after surgery over a 2-year period. Her visual acuity had improved from light perception preoperatively to 20/50 at the latest follow-up. No sight-threatening postoperative complications were noted. It is safe and effective to peel off the keratolenticular adhesion in patients of type 2 Peters anomaly presented with distinctly demarcated corneal opacity.
关键词：Peters anomaly;Cataract;Endothelium;Pediatric