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A Revised Surgical Approach to Induce Endolymphatic Hydrops in the Guinea Pig
Published on: June 4, 2020
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An unusual hydrops in keratoconus.
1Bharat Vikas Parishad Charitable Centre, Chandigarh Cornea Clinic, Chandigarh, India.
Indian Journal of Ophthalmology
|January 31, 2018
Summary
This study presents a rare case of creeping hydrops, a slow-developing, multi-site corneal condition. Unlike typical acute hydrops, this unusual presentation offers new insights into corneal edema progression.
Area of Science:
- Ophthalmology
- Corneal Diseases
- Ocular Surface Disease
Background:
- Corneal hydrops is typically an acute condition characterized by sudden onset of corneal edema.
- It usually presents as a single, localized event within the cornea.
- Previous literature has not documented a slow, creeping progression of corneal hydrops.
Observation:
- A 19-year-old male presented with acute hydrops in the left eye.
- During follow-up, the contralateral cornea showed development of edematous bands at two parallel sites.
- This unusual presentation progressed slowly over 4 months, with new edema bands continuously forming.
Findings:
- The case demonstrated a novel 'creeping' type of corneal hydrops.
- This hydrops progressed slowly over a 4-month period.
- Multiple sites of corneal edema developed in a parallel, creeping fashion.
Implications:
- This case challenges the traditional understanding of corneal hydrops as an exclusively acute, single-site event.
- The slow, creeping progression suggests alternative pathophysiological mechanisms in certain hydrops cases.
- Further research is warranted to explore the etiology and management of this atypical hydrops presentation.
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