Billateral Sequential Acute Corneal Hydrops Complicated With Unilateral Corneal Perforation

University eye hospital, Ljubljana, Slovenia.

PubMed literature search and review of treatment of acute corneal hydrops in ectatic diseases. Interval to corneal clearing with different techniques and complications of individual techniques were compared.

Conservative therapy as well as surgical therapy have been advised in acute corneal hydrops. Corneal compression suttures, intracameral gas injection, intracameral avtologous platelet-plasma injection and closure of defect with posterior corneal substitutes have been implemented. To date there is no difference in time to resolution of acute corneal hydrops between conservative and surgical approach.

Acute corneal hydrops is a rare occurrence in corneal ectatic disease and rarely complicated by corneal perforation. Conservative and surgical management have shown similar outcomes.