Global Delphi Consensus Defines Pediatric Endothelial Keratoplasty Practice

A modified Delphi consensus study by the EKLG Study Group surveyed international corneal and pediatric ophthalmology experts to identify areas of agreement on pediatric endothelial keratoplasty. The panel reached consensus on indications (including congenital hereditary endothelial dystrophy, aphakic/pseudophakic edema, and trauma-related decompensation), contraindications, preoperative workup, preferred techniques (ultrathin-DSAEK and DSAEK over DMEK in most cases), intraoperative principles, and postoperative care such as prolonged topical corticosteroid use and individualized follow-up. The authors state these consensus statements provide a practical framework intended to benchmark practice, reduce variability, and inform future multicenter studies.

Most relevant for: Corneal specialists managing children with endothelial disease, congenital glaucoma-related corneal edema, or corneal decompensation following trauma or failed keratoplasty.

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