Acute corneal hydrops in keratoconus - a case report
Keratoconus is observed in cases of impaired corneal biochemical activity, leading to secondary thinning and ectasia. Usually the onset is in the second – third decade of life. The acute corneal hydrops occurs when intraocular aqueous passes through a rupture of Descemet membrane (DM) and is charact...
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| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Trakia University
2019-03-01
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| Series: | Trakia Journal of Sciences |
| Subjects: | |
| Online Access: | http://tru.uni-sz.bg/tsj/Vol.17,%20Suppl.1,%202019/10.pdf |
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| Summary: | Keratoconus is observed in cases of impaired corneal biochemical activity, leading to secondary thinning and ectasia. Usually the onset is in the second – third decade of life. The acute corneal hydrops occurs when intraocular aqueous passes through a rupture of Descemet membrane (DM) and is characterized with stromal edema. Estimated frequency is 2.5 – 3.0% among the keratoconus patient. Eye rubbing is the major risk factor. In most cases the hydrops persists for 2 -4 months. The resolution is cicatrix/scar formation, but there is a risk for complications such as vascularization, infection and corneal perforation. We present a case of a 23 year old male patient, presenting with complains of reduced and blurry vision in the right eye and photophobia. Visual acuity and full ophthalmological examination was done. UBM was performed of the right eye. The patient received conservative therapy. The acute corneal hydrops occurs when intraocular aqueous passes through a rupture of Descemet membrane (DM) and is characterized with stromal edema. The treatment could be conservative or surgical. The conservative therapy includes topical lubricants, antibiotics, cycloplegics, hyperosmotic solutions, antiglaucoma drugs, topical corticosteroids and nonsteroid anti-inflammatory drugs. Surgical treatment includes intracameral injection of air or gas, but the definitive treatment is penetrating keratoplasty. We describe a newly diagnosed patient with keratoconus, who presents with rare complication - acute corneal hydrops. Differential diagnosis in cases of young patients with acute onset of keratitis, especially young males, should be made with acute corneal hydrops. |
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| ISSN: | 1312-1723 1313-3551 |