Perfil de ceratoplastia por ceratocone em crianças: uma revisão crítica de literatura

Abstract

Introduction: Keratoconus (KC) is a chronic, progressive pathology that causes visual concern, in young patients the condition is more advanced with a faster progression of the disease. Treatment in pediatrics is mainly respiratory, among the most used methods is keratoplasty. Objective: To evaluate the profile of keratoplasty used in the correction of keratoconus in children and the main complications that this method entails for pediatric health. Method: The research is a systematic literature review, descriptive and qualitative. The bibliographic research was carried out in the databases, BVS, PUBMED SciELO and Cochrane Library. Results: After the survey and selection of articles, a total of 13 articles were obtained. Discussion: When the efficiency of DALK and PK was not observed significant difference in the results between the two types of keratoplasty, the cases of graft epitheliopathy and suture-associated complications that were associated with DALK are due to poor quality donor tissue. In addition, new therapies are promising and less invasive, such as CXL. Conclusion: The decision on the correct management of keratoconus includes extensive knowledge about the intercurrences that may occur during and after emergency treatment.