3ĭue to the difference in the phenotypic presentation in patients with PA, as well as co-existing glaucoma in many of these patients, the visual prognosis in children with PA is highly variable studies show anywhere from 10% to 54% of patients achieving visual acuity (VA) better than 20/200. 1, 2 Type I PA is characterized by iridocorneal adhesions in addition to corneal opacification, whereas the more severe type II is characterized by additional keratolenticular adhesions with more extensive central corneal opacities. Peters anomaly (PA) is a rare congenital cause of anterior segment dysgenesis with central corneal opacification and a relatively clear peripheral cornea, with an incidence of approximately 1.5 per 100,000 births. Keywords: Peters anomaly, penetrating keratoplasty, visual outcomes, logMAR, corneal opacity Glaucoma develops in a high percentage of this patient population, and thus close monitoring of IOP in this patient population is crucial. The type of anomaly does not appear to be associated with a worse visual function in patients with PA.

The type of PA beta(se)=0.53 (0.41), p = 0.20] was not found to be a significant risk factor for worse VA.Ĭonclusion: Severe visual impairment develops in the majority of patients with PA. Seventeen eyes (81%) underwent at least one intraocular surgery, while the average number of surgeries per eye was 2.9 ± 2.5 (range=0– 9). One eye had dense central leucoma and microphthalmos where IOP could not be measured accurately. Glaucoma was present in 20 eyes (95%) at the final visit. Of the study cohort, 15 (71.5%) eyes had type I, while six (28.5%) had type II PA. Results: Twenty-one eyes from 11 patients were analyzed.

The impact of PA type on final visual acuity levels was analyzed using generalized estimation equation models.

Parameters recorded included visual acuity (VA), intraocular pressure (IOP), presence of glaucoma, and surgical procedures performed. Clinical records of pediatric patients diagnosed with PA from 2000 to 2017 were reviewed. Methods: This was a retrospective study undertaken at a single academic center. Purpose: This study aimed to evaluate the visual outcomes of pediatric patients diagnosed with Peters anomaly (PA) in a tertiary eye care center. The lens is uninvolved.Samiksha Fouzdar-Jain, 1 Zena Ibrahim, 2 Jeremy Reitinger, 3 Dingcai Cao, 2 Mehmet C Mocan 2ġDepartment of Pediatric Ophthalmology & Adult Strabismus, Children’s Hospital and Medical Center, Omaha, NE, USA 2Department of Ophthalmology and Visual Sciences, University of Illinois at Chicago, Chicago, IL, USA 3Creighton University School of Medicine, Omaha, NE, USAĭepartment of Pediatric Ophthalmology & Adult Strabismus, Children’s Hospital and Medical Center, Omaha, NE, USA Note the central corneal opacity (leukoma) with attached iris strands (arrow). Global Programs and Resources for National Societies.Minority Ophthalmology Mentoring Campaign.Subspecialty/Specialized Interest Society Meetings.Subspecialty/Specialized Interest Society Directory.International Blindness Prevention Award.Provider Enrollment, Chain and Ownership System (PECOS).Ophthalmic Coding Specialist (OCS) Exam.

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