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Management of acute corneal hydrops - Current perspectives
Rahul K Bafna1, Nidhi Kalra2, Mohamed I Asif3
1Department of Ophthalmology, Vasan Eye Care Center, Vizag, Andhra Pradesh, India.
Indian Journal of Ophthalmology
|February 6, 2024
Summary
Acute corneal hydrops (ACH), a rare complication of corneal ectasias, requires effective management. Newer surgical techniques aim to improve visual rehabilitation and reduce scarring, offering alternatives to keratoplasty.
Area of Science:
- Ophthalmology
- Corneal Diseases
- Surgical Interventions
Background:
- Acute corneal hydrops (ACH) is a rare, sight-threatening complication of corneal ectasias.
- Understanding its etiopathogenesis, histology, and diagnostic methods is crucial for effective management.
Approach:
- A comprehensive literature review was conducted across major databases (PubMed, Embase, Web of Science, Scopus) up to April 2023.
- 75 relevant articles focusing on ACH management strategies were shortlisted and analyzed.
Key Points:
- Recent surgical interventions include sutures, thermokeratoplasty, and plasma injections to address posterior stromal breaks.
- Posterior lamellar keratoplasties and early deep anterior lamellar keratoplasty (DALK) aim to correct anatomical defects and aid visual recovery.
- These advanced techniques may reduce scarring and enhance visual rehabilitation with contact lenses, potentially avoiding keratoplasty.
Conclusions:
- Novel surgical approaches offer promising alternatives for managing acute corneal hydrops.
- The goal is to improve outcomes by minimizing scarring and maximizing visual rehabilitation, reducing the need for corneal transplantation.
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