#InstitutoMéxicanoDelSeguroSocial.- The transplanted cornea was from a 75-year-old adult available for ophthalmologic emergency.
In the last four years there has been no documented case of corneal transplantation in children under one year of age at IMSS and at the national level.
Thanks to the timely intervention of specialists from the General Hospital of the National Medical Center (CMN) La Raza of the Mexican Social Security Institute (IMSS), a cornea transplant was performed on a three-month-old girl to preserve her eye, as she had a corneal ulcer that generated endophthalmitis, a severe inflammation in this organ.
Dr. Rocio Adriana Horcasitas Ibarra, specialist in refractive surgery with training in corneal transplant of the High Specialty Medical Unit (UMAE), informed that this is the first surgical procedure in a child under one year old in 2021 within this hospital, and in the last four years no similar case has been documented in the IMSS and at a national level.
He explained that the patient, named Ashley, at three months of age presented a corneal lesion and was initially treated at Family Medicine Unit (UMF) No. 41 in Merida, Yucatan; later, when there was no favorable response to the treatment, she was referred to the Pediatric Ophthalmology and Cornea Services of the General Hospital «Dr. Gaudencio Gonzalez Garza» in Mexico City.
«When we talked to her parents, they told us that Ashley had a red eye, tearing, a feverish condition and increased eyelid volume; signs that after a series of studies confirmed the diagnosis of corneal ulcer, orbital cellulitis and endophthalmitis,» he said.
Horcasitas Ibarra explained that in view of this scenario, the only option for the little girl was to perform a corneal transplant in order to preserve the eyeball, since the corneal ulcer that generated the endophthalmitis put at risk the preservation not only of her vision but also of the organ.
He recalled that this procedure was performed last April 27, thanks to the cadaveric donation of cornea from a 75-year-old adult, tissue that was available at the Corneal Tissue Bank for the attention of urgent cases such as Ashley’s. Two days later and with a good evolution, she was able to leave the hospital.
The specialist of the General Hospital of CMN La Raza added that the minor was followed up by the Cornea Service of this UMAE for six months, where her improvement was observed through a transparent corneal button. On October 7, the sutures were removed under general anesthesia and she was discharged the following day.