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Spontaneous Corneal Hydrops in a Patient with a Corneal Ulcer
Hatim Batawi1, Nikisha Kothari2, Andrew Camp2
1Miami Veterans Administration Medical Center, Miami, Fla., USA; Bascom Palmer Eye Institute, University of Miami, Miami, Fla., USA; King Abdul Aziz University Hospital, Jeddah, Saudi Arabia.
Purpose:
We report the case of a 77-year-old man with no history of keratoconus or other ectatic disorders who presented with corneal hydrops in the setting of a corneal ulcer. The risk factors, pathogenesis and treatment options of corneal hydrops are discussed.
Method:
This is an observational case report study.
Results:
A 77-year-old man presented with a 1-day history of severe pain, redness, mucous discharge and photophobia in the right eye. A slit-lamp examination of the right eye showed an area of focal corneal edema and protrusion. Within the area of edema and protrusion, there was an infiltrate with an overlying epithelial defect consistent with an infectious corneal ulcer. The Seidel test showed no leakage, so a clinical diagnosis of corneal hydrops associated with nonperforated corneal ulcer was made. With appropriate antibiotic treatment, the corneal ulcer and hydrops both resolved over a 1-month period.
Conclusion:
Corneal hydrops can occur in the setting of corneal infections.
