Abstract
We report a rare case of bilateral advanced keratoconus presenting with acute hydrops in a 5-year-old child with no known syndromic association and frequent eye rubbing. Pediatric consultation revealed delayed milestones and hypothyroidism with occasional seizures. Acute Hydrops was managed conservatively since fitness for intracameral perfluoropropane injection was delayed. Subsequently, the patient underwent deep anterior lamellar keratoplasty in both the eyes with good surgical outcome. Initial presentation of keratoconus with acute hydrops in a 5-year-old patient is rare. As this case was associated with hypothyroidism, global developmental delay, and seizures, it requires further investigation for any association with keratoconus.
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