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

Abstract

Case report: 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.

Discussion: 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.

Keywords: Air; Aire; Descemet membrane detachment; Hydrops; Incisiones estromales de drenaje; Intracameral injection; Inyección intracamerular; Keratoconus; Queratocono; Rotura de la membrana de Descemet; Stromal venting incisions.