Anterior Segment Optical Coherence Tomography Findings of Acute Hydrops in a Patient With Keratoconus

Abstract

In this case report, the anterior segment optical coherence tomography (AS-OCT) findings of a 25-year-old patient with acute hydrops associated with keratoconus are described. The patient presented to our ophthalmology department in Turkey with decreased visual acuity, pain, and redness in the left eye. The symptoms, clinical presentation, and topographical findings of the right eye confirmed this condition to be acute corneal hydrops. The patient was closely observed with hyper-osmotic (NaCl 5%) and non-steroidal anti-inflammatory (ketorolac tromethamine 0.5%) topical treatment. At the initial examination and during follow-up, the evaluation of the anterior segment was performed using optical coherence tomography (Visante OCT; Carl Zeiss Meditec, Inc., Dublin, CA). By high-resolution AS-OCT, the changes in the stroma and Descemet's membrane during the healing process of acute hydrops were demonstrated.