Aim: To evaluate patient characteristics, indications, surgical

Methods: As part of a prospective longitudinal study, paediatric keratoplasty data collected by the New Zealand National Eye Bank (NZNEB) was analysed for the 13 year period 1991–2003. Results: During the study period the NZNEB supplied 2547 corneas for keratoplasty, of which 65 (3%) were used for paediatric patients (14 years or younger). The 65 kerato-plasties were performed in 58 eyes of 52 patients (66 % male, 34 % female, mean age 10.6 years, SD 4.3 years). Indications were classified into three groups: congenital (16%, n = 9), acquired non-traumatic (74%, n = 43), and acquired traumatic (10%, n = 6). Peters ’ anomaly (7 % of total), keratoconus (67%), and penetrating trauma (8%) were the most common indications in each group, respectively. 82 % of keratoplasties with known outcome survived (clea