Acute corneal hydrops (HCA) is a rare complication of keratoconus (2.5 to 3%), which leads to the rupture of Descemet's membrane and passage of aqueous humor to the stroma and corneal epithelium. The surgical treatment of HCA isn't well established in the literature and remains an underused alternative. Patient A, female, 38 years old, visual acuity (AV) of fingers count (DC) at 50cm in the left eye (LE). There was worsening during clinical treatment: AV of hand movement (MM) (16th day) and no longer walked without help (33rd). Optical Coherence Tomography (OCT) with a corneal thickness of 1.69 mm (33rd day). Three days after surgical treatment, she had 0.68 mm at OCT, discreet opacity, adhered MD and final AV of 20/400. Patient B, female, 20 years old, previous keratoconus and acute AV reduction in the right eye: DC at 50 cm. Without improvement in clinical treatment, surgical treatment was performed with intervention on the 14th day, without improvement, OCT with a thickness of 1.67mm. Four stitches of compressive sutures were added in the cornea and after 5 days OCT with 0.60 mm, adhered MD and final corrected AV of 20/150. The objective of this work is to present, through two case reports, the surgical treatment of HCA as an effective, alternative and early results method. Clinical treatment is usually effective, but in case of failure, surgical treatment can be satisfactory. The addition of corneal compression sutures further accelerates recovery and prevents repeated interventions.
Acute corneal hydrops (HCA) is a rare complication of keratoconus (2.5 to 3%), which leads to the rupture of Descemet's membrane and passage of aqueous humor to the stroma and corneal epithelium. The surgical treatment of HCA isn't well established in the literature and remains an underused alternative. Patient A, female, 38 years old, visual acuity (AV) of fingers count (DC) at 50cm in the left eye (LE). There was worsening during clinical treatment: AV of hand movement (MM) (16th day) and no longer walked without help (33rd). Optical Coherence Tomography (OCT) with a corneal thickness of 1.69 mm (33rd day). Three days after surgical treatment, she had 0.68 mm at OCT, discreet opacity, adhered MD and final AV of 20/400. Patient B, female, 20 years old, previous keratoconus and acute AV reduction in the right eye: DC at 50 cm. Without improvement in clinical treatment, surgical treatment was performed with intervention on the 14th day, without improvement, OCT with a thickness of 1.67mm. Four stitches of compressive sutures were added in the cornea and after 5 days OCT with 0.60 mm, adhered MD and final corrected AV of 20/150. The objective of this work is to present, through two case reports, the surgical treatment of HCA as an effective, alternative and early results method. Clinical treatment is usually effective, but in case of failure, surgical treatment can be satisfactory. The addition of corneal compression sutures further accelerates recovery and prevents repeated interventions.
Tuberculosis is a systemic disease that can occur with ocular involvement in about 1-2% of cases. The ophthalmopathy clinic is unspecific and difficult to recognize, as the microscopic finding of the pathogen in the lesions is uncommon. In addition, it can lead to irreversible vision loss if not treated early. The present work aims to report a case of ocular involvement of the disease, showing the difficulty of diagnosis and the pharmacological measures adopted at each moment, until the final diagnosis.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.