Corneal opacities in the pediatric population pose a great challenge for corneal specialists due to the difficulties in surgical management in the pre-, intra- or post-operative periods.

The indications for pediatric penetrating keratoplasty vary considerably in the literature ( Table 1 ) [9, 10, 12, 15, 16, 17, 18, 19, 20, 21] and can be classified under three broad categories ...