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Archivos de la Sociedad Espanola de Oftalmologia 2015-Apr

[Management of corneal hydrops using air and micro-punctures].

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R Campos Polo
J Chacón Iglesias
M Gamazo Carrasco
J M Mencía Bartolomé
J Solana Fajardo
D García Guisado
C Fernández Miranda
J Bueno Álvarez-Arenas
Á Sánchez Trancón
E García Ardoy

Keywords

Abstract

METHODS

A 22-year- old woman with an acute hydrops and Descemet membrane detachment was managed by intracameral air injection combined with multiple corneal stromal venting incisions for the drainage of intrastromal fluid. No intraoperative complications were encountered, and the intrastromal fluid was resolved over 2 weeks.

CONCLUSIONS

Acute corneal hydrops is a significant complication of keratoconus. If not treated, resolution usually occurs over a period of 2-4 months. The persistent oedema can cause complications, such as corneal neovascularisation, infection and corneal perforation.

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