CC BY-NC-ND 4.0 · Journal of Health and Allied Sciences NU 2011; 01(04): 50-52
DOI: 10.1055/s-0040-1703542
Case Report

MANAGEMENT OF ACUTE CORNEAL HYDROPS SECONDARY TO KERATOCONUS BY DESCEMETOPEXY USING INTRACAMERAL PERFLUOROPROPANE (C3F8 ) – A CASE REPORT

Vijay Pai
1  Professor, Dept. of Ophthalmology, K.S. Hegde Medical Academy, Deralakatte, Mangalore - 575 018
,
Jayaram Shetty
2  Prof. & Head, Dept. of Ophthalmology, K.S. Hegde Medical Academy, Deralakatte, Mangalore - 575 018
,
Hrishikesh Amin
3  Professor, Dept. of Ophthalmology, K.S. Hegde Medical Academy, Deralakatte, Mangalore - 575 018
,
S. Bhat
4  Assoc. Professor, Dept. of Ophthalmology, K.S. Hegde Medical Academy, Deralakatte, Mangalore - 575 018
,
Divya Lakshmi
5  Sr. Resident, Dept. of Ophthalmology, K.S. Hegde Medical Academy, Deralakatte, Mangalore - 575 018
› Author Affiliations

Abstract

Keratoconus is a clinical term used to describe bilateral non-inflammatory corneal ectasia in its axial part due to which cornea assumes a conical shape1. The onset of keratoconus is generally at the age of puberty, and progresses over a period of 10-20 years2,3. The treatment of Keratoconus is rarely an emergency, with the exception of corneal hydrops resulting from rupture of the Descemet's membrane. This may be the common mode of presentation in patients with associated developmental delay, probably related to habitual ocular massage4,5.



Publication History

Publication Date:
04 May 2020 (online)

© .

Thieme Medical and Scientific Publishers Private Ltd.
A-12, Second Floor, Sector -2, NOIDA -201301, India

 
  • References

  • 1 Krachmer, Mannis, Holland. Textbook of Cornea, 2005, 2nd Edition, Vol. 1 Pg. 955-956.
  • 2 Krachmer JH, Feder RS, Belin MW. Keratoconus and related noninflammatory corneal thinning disorders. Surv Ophthalmol. Jan-Feb 1984;28(4):293-322.
  • 3 Rabinowitz YS. Keratoconus. Surv Ophthalmol. Jan-Feb 1998;42(4):297-319.
  • 4 Haugen OH. Keratoconus in mentally retarded, Acta Ophthalmol (Copenh). 1992;70:111-114.
  • 5 Karseras AG, Ruben M. Aetiology of Keratoconus. Brit J Ophthalmol. 1976;60:522-525.
  • 6 Tuft SJ, Gregory WM, Buckley RJ. Acute Corneal Hydrops in Keratoconus. Ophthalmology. 1994;101:1738-44.
  • 7 Gupta VP, Jain RK, Angra SK. Acute Hydrops in Keratoglobus with Vernal Keratoconjunctivitis. Indian J Ophthalmol. 1985;33:121-3.
  • 8 Carter JB, Jones DB, Wilhelmus KR. Acute hydrops in Pellucid Marginal Degeneration. Am J Ophthalmol. 1989;107:167-70.
  • 9 Wolter JR, Menderson JW, Clahessey EG. Ruptures of Descemet's Membrane in Keratoconus causing Acute Hydrops and Posterior Keratoconus. Am J Ophthalmol. 1967;63:1689-92.
  • 10 Sagar Basu, Pravin K Vaddavalli, Muralidhar Ramappa et al. Intracameral Perfluoropropane gas in treatment of acute corneal hydrops. Ophthalmology. 2011;118:934-939.
  • 11 Grewal S, Laibson PR, Cohen EJ, Rapnano CJ. Acute hydrops in corneal ectasias: Associated factors and outcomes. Trans Am Ophthalmol Soc. 1999;97:187-98.
  • 12 Miyata K, Tsuji H, Tanabe T et al. Intracameral air injection for Acute Hydrops in Keratoconus. Am J Ophthalmol. 2002;133:750-2.
  • 13 Panda A, Aggarwal A, Madhavi P et al. Management of Acute Corneal Hydrops secondary to Keratoconus with intracameral injection of SF6. Cornea. 2007;26:1067-9.
  • 14 Shah SG, Sridhar MS, Sangwan VS. Acute Corneal Hydrops treated by intracameral C F . Am J Ophthalmol. 2005;139:368-70. 6 8
  • 15 Kaushal S, Sharma N, Vajpayee RB. Treatment of Acute Corneal Hydrops with intracameral C3F8 in a patient of Pellucid Marginal Degeneration with Keratoglobus. Clin Experiment Ophthalmol. 2007;35:697-9.
  • 16 Kaan Unlu, Ahmet Aksunger. Descemet's Membrane detachment after Viscocanaliculostomy. Am J Ophthalmol. 2000;130:833-834.
  • 17 Hiroko Fujimoto, Takanori Mizoguchi, Shinichiro Kuroda, Makoto Nagata. Intracorneal Hematoma with Descemet's Membrane detachment after Viscocanaliculostomy. Am J Ophthalmol. 2004;137:195-196.
  • 18 Kim T, Hasan SA. A new technique for repairing Descemet's membrane detachments using intracameral gas injections. Arch Ophthalmol. 2002;120:181-3.
  • 19 Curtis E Margo, Mathew W Mosteller. Corneal Pseudocyst following acute hydrops. Brit J Ophthalmol. 1987;71:359-360.