Pneumodescemetopexy with perfluoroethane (C2F6) for the treatment of acute hydrops secondary to keratoconus

Ting, Darren S J; Srinivasan, Sathish

doi:10.1038/eye.2014.109

Cited by 7 publications

(3 citation statements)

References 16 publications

(25 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The need for a repeat injection was reported to be more with air (77.8%) and SF6 (66.7%) and less with C3F8 (0–35.7%). [ 11 18 26 27 35 ] Ting and Srinivasan[ 40 ] advocated using perfluoroethane C2F6 gas, an intermediate-acting agent. C2F6 was beneficial over the short-acting SF6 due to better tamponade and having less chances of pupillary block glaucoma than the long-acting C3F8.…”

Section: Discussionmentioning

confidence: 99%

“…The procedures have been performed in isolation and in combination with the fluid clefts’ intrastromal drainage. [ 18 20 24 26 27 31 32 33 34 35 36 37 38 39 40 41 42 43 44 ] The outcomes of these surgical strategies are summarized in Table 1 . Combination of these techniques along with the modified technique of compression sutures has been recently reported to effect rapid resolution of corneal edema in cases of ACH.…”

Section: Surgical Strategiesmentioning

confidence: 99%

See 1 more Smart Citation

Management of acute corneal hydrops – Current perspectives

Bafna,

Kalra,

Asif

et al. 2024

Indian Journal of Ophthalmology

View full text Add to dashboard Cite

Acute corneal hydrops (ACH) is a rare but sight-threatening complication of corneal ectasias. We aim to review the current literature on etiopathogenesis, histology, role of ancillary investigations, management, and outcomes of ACH by classifying the various management strategies based on their site of action and the underlying mechanism. A review of the literature was conducted by searching the following databases: PubMed (United States National Library of Medicine), Embase (Reed Elsevier Properties SA), Web of Science (Thomson Reuters), and Scopus (Elsevier BV) till April 2023. The literature search used various combinations of the following keywords: acute corneal hydrops, keratoconus, ectasia, management, keratoplasty. Nine hundred eighty-three articles were identified based on the above searches. Case reports which did not add any new modality of treatment to the existing literature, articles unrelated to management, those with no full text available, and foreign-language articles with no translation available were excluded. Eventually, 75 relevant articles that pertained to the management of ACH were shortlisted and reviewed. Recent studies have described newer surgical interventions like full-thickness or pre-Descemetic sutures, thermokeratoplasty, and plasma injection that aim to close the posterior stromal break. Posterior lamellar keratoplasties act by replacing the posterior torn Descemet’s membrane (DM), and early deep anterior lamellar keratoplasty (DALK) has been attempted to combine the correction of the anatomical defect and visual rehabilitation in a single surgery. These surgical interventions may help by reducing the scarring and increasing the number of patients who can be visually rehabilitated with contact lenses rather than keratoplasty.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Surgical Strategiesmentioning

confidence: 99%

Management of acute corneal hydrops – Current perspectives

Bafna,

Kalra,

Asif

et al. 2024

Indian Journal of Ophthalmology

View full text Add to dashboard Cite

show abstract

“…One of the severe complications of keratoconus is the development of acute corneal hydrops, which is due to a spontaneous break in the PDL/DM, resulting in the imbibition of the anterior chamber aqueous fluid into the cornea stroma [66][67][68][69] (Figure 8). In serious cases of acute corneal hydrops, scar tissue can impair visual acuity and might necessitate treatment with scleral contact lenses or even corneal transplant [70,71].…”

Section: Clinical Applications For Corneal Diseases 61 Keratoconusmentioning

confidence: 99%

Clinical Applications of Anterior Segment Optical Coherence Tomography: An Updated Review

Chong,

Azzopardi,

Hussain

et al. 2024

Diagnostics

View full text Add to dashboard Cite

Since its introduction, optical coherence tomography (OCT) has revolutionized the field of ophthalmology and has now become an indispensable, noninvasive tool in daily practice. Most ophthalmologists are familiar with its use in the assessment and monitoring of retinal and optic nerve diseases. However, it also has important applications in the assessment of anterior segment structures, including the cornea, conjunctiva, sclera, anterior chamber, and iris, and has the potential to transform the clinical examination of these structures. In this review, we aim to provide a comprehensive overview of the potential clinical utility of anterior segment OCT (AS-OCT) for a wide range of anterior segment pathologies, such as conjunctival neoplasia, pterygium, scleritis, keratoconus, corneal dystrophies, and infectious/noninfectious keratitis. In addition, the clinical applications of AS-OCT (including epithelial mapping) in preoperative planning and postoperative monitoring for corneal and refractive surgeries are discussed.

show abstract