Acute hydrops followed by corneal perforation five years after corneal cross-linking for keratoconus.
Publisher DOI
PubMed ID
35544929
Abstract
We report a case of acute corneal hydrops followed by corneal perforation five years after corneal cross-linking for keratoconus. A healthy 24-year-old female patient underwent Dresden protocol cross-linking in her left eye due to advanced keratoconus. After five years of a stable cornea, she returned with epiphora, blurred vision, and a soft left eye. Acute hydrops and corneal perforation were diagnosed. There was no history of pregnancy, atopy, eye rubbing, trauma, or contact lens use. Local antibiotic and eye patching were applied. Three months after the resolution of the acute episode, she retained useful visual acuity with no need for further surgery. Although cross-linking efficiently halts keratoconus, progression can occur, leading to corneal hydrops and perforation, even in the absence of any risk factors.
Date Issued
2023
Publication Type
Article
Subject(s)
Language(s)
en
Author(s)
Jovanovic, Vesna | |
Nikolic, Ljubisa | |
Jankov, Mirko R |
Additional Credits
Journal
Arquivos brasileiros de oftalmologia
Publisher
Conselho Brasileiro de Oftalmologia
ISSN
1678-2925
Access(Rights)
open.access