Abstract
Visual results following penetrating keratoplasty for congenital corneal opacities have been generally disappointing, prompting many ophthalmologists to recommend no surgery for congenital, monocular corneal opacities. A 14-day-old boy had a penetrating keratoplasty performed for unilateral Peters' anomaly and microcornea. Visual acuity 49 months after surgery was 20/40 and peripheral fusion was present. Early surgery with early suture removal, amblyopia therapy, frequent clinical examinations, and motivated, well-informed parents were important factors in obtaining a good visual result.

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