Epikeratophakia in children

In the past two years 29 patients (ages 9 months to 15 years) received 37 epikeratophakia grafts. 91.1 percent of the original surgeries were successful. The average change in refractive error was 16.7 diopters, and the average spectacle overcorrection was +0.2 diopters. We have obtained good visual results in our very young patients were follow-up is already over 1 year. We demonstrated also some improvement in visual acuity in older children especially those with traumatic or secondary cataracts. The study demonstrates that we can add an average of +17.1 diopters with an epikeratophakia graft and that the amount of correction obtained is remarkable predicted.