Abstract
PurposeTo demonstrate that hydrops is not a disaster and often evolves favorably especially under surgical treatment.MethodsProspective study of 30 eyes of 30 patients with corneal hydrops who underwent clinical examination with anterior segment photography, corneal topography, ultrasound corneal pachymetry and corneal OCT. All of them underwent in an outpatient setting and under topical anesthesia, anterior chamber air injection, peripheral iridotomy and deep corneal sutures perpendicular to Descemet membrane tear then kept under observation for 1 hour. Patients were asked to stay laying on their backs for 3 days. All patients were able to wear scleral lens after 1 week post surgery.ResultsCorneal edema decreased dramatically since the first day concomitantly with corneal thickness and average SimK reading. Mean LogMAR with scleral lens was 0.4.ConclusionsProper surgical approach of hydrops can provide a spectacular quick healing with visual improvement avoiding corneal graft.
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