Boston Keratoprosthesis Type 1 in the Pediatric Population

Purpose of Review Pediatric corneal blindness is a worldwide problem that is very difficult to address. Traditional penetrating keratoplasty is considered a high-risk procedure in this population due to the host of complications that are often encountered. Even when anatomic success is achieved with penetrating keratoplasty, visual recovery is not guaranteed. Recent Findings Pediatric keratoprosthesis is an alternative procedure that offers rapid visual recovery in a quiet eye without the risk of allograft rejection. Visually significant complications, including glaucoma, retinal detachments, retroprosthetic membranes, and endophthalmitis, can occur. Extreme care should be taken in selecting appropriate candidates for pediatric keratoprosthesis surgery. Summary Success with pediatric keratoprosthesis surgery can be achieved with a dedicated team of ophthalmic specialists and a motivated family.