Management of corneal hydrops using air and micro-punctures.

Archivos de la Sociedad Espanola de Oftalmologia

PubMedID: 25443186

Campos Polo R, Chacón Iglesias J, Gamazo Carrasco M, Mencía Bartolomé JM, Solana Fajardo J, García Guisado D, Fernández Miranda C, Bueno Álvarez-Arenas J, Sánchez Trancón A, García Ardoy E. Management of corneal hydrops using air and micro-punctures. Arch Soc Esp Oftalmol. 2014;.
CASE REPORT
A 22-year- old woman with an acute hydrops and Descemet membrane detachment was managed by intracameral air injection combined with multiple corneal stromal venting incisions for the drainage of intrastromal fluid. No intraoperative complications were encountered, and the intrastromal fluid was resolved over 2 weeks.

DISCUSSION
Acute corneal hydrops is a significant complication of keratoconus. If not treated, resolution usually occurs over a period of 2-4 months. The persistent oedema can cause complications, such as corneal neovascularisation, infection and corneal perforation.