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[Management of corneal hydrops using air and micro-punctures]
R Campos Polo1, J Chacón Iglesias2, M Gamazo Carrasco2
1Servicio de Oftalmología, Complejo Hospitalario Universitario de Badajoz, Badajoz, España; Clínica Vista Sánchez Trancón, Badajoz, España.
Archivos De La Sociedad Espanola De Oftalmologia
|December 3, 2014
Summary
A novel treatment for acute corneal hydrops involving intracameral air injection and corneal stromal venting incisions effectively resolved stromal fluid within two weeks. This method offers a faster alternative to natural resolution for this keratoconus complication.
Area of Science:
- Ophthalmology
- Corneal Surgery
Background:
- Acute corneal hydrops is a serious complication of keratoconus.
- Untreated hydrops can lead to prolonged edema, neovascularization, infection, and perforation.
Observation:
- A 22-year-old female presented with acute corneal hydrops and Descemet membrane detachment.
- The patient underwent a novel surgical procedure for management.
Findings:
- The treatment involved intracameral air injection combined with multiple corneal stromal venting incisions.
- This procedure successfully drained intrastromal fluid.
- Complete resolution of stromal fluid occurred within two weeks without intraoperative complications.
Implications:
- This minimally invasive technique may offer a more rapid resolution for acute corneal hydrops compared to conservative management.
- The procedure shows promise in preventing complications associated with persistent corneal edema.
- Further studies are warranted to evaluate the long-term efficacy and applicability of this treatment approach.
