{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T19:15:41Z","timestamp":1787166941271,"version":"build-2736575974"},"reference-count":0,"publisher":"Pakistan Medical Association","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Pak Med Assoc"],"abstract":"<jats:p>Objective: To evaluate the anatomical outcome of tectonic grafts performed in children with perforated or melted corneas.\nMethod: The prospective study was conducted at the Department of Paediatric Ophthalmology, Al-Shifa Trust Eye Hospital, Rawalpindi, Pakistan, from January to December 2017, and comprised children of either gender aged &lt;16 years who received tectonic grafts owing to desmetocele or corneal perforation of &gt;3mm.\u00a0 The causes of corneal perforation, size of perforation, post-operative graft outcome and globe integrity were noted. Periodic follow-ups were done till December 2019. Data was analysed using SPSS 22.\nResults: Of the 27 patients, 9(33.3%) were girls and 18(66.7%) were boys. The overall mean age was 47.7\u00b143.5 months. The most common indication was corneal perforation 19(70.4%), followed by descemetocele 8(29.6%). The most frequent cause was infectious keratitis 13(48.2%), followed by trauma 8(29.6%) and vitamin A deficiency 5(18.5%). The mean size of perforation\/descemetocele was 5.5\u00b11.5mm. Post-operatively, graft failure occurred in 5(18.5%) eyes and required repeat grafts. Globe integrity was restored in all 27(100%) cases, and 24(88.8%) eyes maintained their size and intraocular pressure, while 3(11.1%) became phthisical. Post-operative visual acuity was better than 6\/36 in 3(11.1%) eyes, between 6\/36 and 6\/60 in 10(37%) and counting finger in 14(51.8%).\nConclusion: Tectonic graft was found to be a valuable therapeutic option in emergency globe-threatening corneal thinning and perforation and in maintaining the anatomical integrity of eyes.\nKey Words: Keratoplasty, Corneal perforation, Corneal grafting.<\/jats:p>","DOI":"10.47391\/jpma.5532","type":"journal-article","created":{"date-parts":[[2023,1,17]],"date-time":"2023-01-17T23:16:26Z","timestamp":1673997386000},"page":"54-59","source":"Crossref","is-referenced-by-count":2,"title":["Anatomical success of tectonic keratoplasty in children at a tertiary care eye hospital"],"prefix":"10.47391","volume":"73","author":[{"given":"Shadab","family":"Hassan","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sorath","family":"Noorani","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naima","family":"Zaheer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sidra","family":"Jabeen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"26547","published-online":{"date-parts":[[2022,12,15]]},"container-title":["Journal of the Pakistan Medical Association"],"original-title":[],"link":[{"URL":"https:\/\/www.ojs.jpma.org.pk\/index.php\/public_html\/article\/download\/5532\/2019","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2023,1,19]],"date-time":"2023-01-19T23:17:57Z","timestamp":1674170277000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ojs.jpma.org.pk\/index.php\/public_html\/article\/view\/5532"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,12,15]]},"references-count":0,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2023,1,17]]}},"URL":"https:\/\/doi.org\/10.47391\/jpma.5532","relation":{},"ISSN":["0030-9982"],"issn-type":[{"value":"0030-9982","type":"print"}],"subject":[],"published":{"date-parts":[[2022,12,15]]}}}