[Reconstruction of the anterior eye segment in children based on penetrating rotary autokeratoplasty].

The paper describes the technique of reconstruction of the anterior segment of the eye used in 46 children, aged from 3 to 14 years, with coarse adherent corneal leukomas, adhesions and obliterations of the pupil, cataracts of mainly (89.2%) posttraumatic etiology. Besides rotatory penetrating autokeratoplasty, the complex surgical intervention included iridoplasty in 91.3%, cataract extraction in 82.6%, anterior vitrectomy in 17.4%, intraocular lens implantation in 2.2% of cases. The complex surgical intervention allowed to achieve transparency of the central zone of the cornea thanks to avoidance of tissue incompatibility, harmless manipulations on the tissues of the anterior segment of the eye, prevention of recurrent adhesions in the anterior chamber. A rise of visual acuity was recorded in 33 persons (71.7%), of them to 0.3-0.7 with correction in 30.8% of cases in remote terms of follow-up. Improvement of cosmetic appearance was achieved in all of the patients operated on.