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Giant intrastromal cleft in corneal hydrops
Virgilio Galvis1,2,3, Alejandro Tello4,5,6, Marcela F Cianci1
1Centro Oftalmológico Virgilio Galvis, Centro Médico Carlos Ardila Lulle, 3rd Floor Module 7, Floridablanca, Colombia.
International Ophthalmology
|July 10, 2017
Summary
A 15-year-old patient with corneal hydrops and a large intrastromal cleft experienced successful medical treatment. Topical prednisolone, saline solution, and hypotensive eyedrops were effective over 33 months.
Area of Science:
- Ophthalmology
- Corneal Diseases
- Medical Treatments
Background:
- Corneal hydrops is a condition characterized by stromal edema.
- Giant intrastromal clefts, or pseudocysts, can complicate corneal hydrops.
- Effective management strategies for such complex cases are crucial.
Observation:
- A 15-year-old male presented with corneal hydrops and a giant intrastromal cleft.
- The patient was treated with topical prednisolone, hypertonic saline solution, and ocular hypotensive eyedrops.
- Anterior segment optical coherence tomography (OCT) was utilized for monitoring.
Findings:
- Medical treatment with topical prednisolone, hypertonic saline, and hypotensive eyedrops proved successful.
- The intrastromal cleft resolved, and corneal edema significantly improved.
- Anterior segment OCT provided valuable data for assessing treatment response over 33 months.
Implications:
- This case highlights the efficacy of a conservative medical approach for complex corneal hydrops with pseudocysts.
- Topical corticosteroids, hypertonic solutions, and hypotensive agents can be effective treatment options.
- Anterior segment OCT is a useful non-invasive tool for monitoring treatment progress in such conditions.
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