Treatment of Acute Corneal Hydrops With Combined Intracameral Gas and Approximation Sutures in Patients With Corneal Ectasia Publisher Pubmed



Mohebbi M¹ ; Pilafkan H¹ ; Nabavi A¹ ; Mirghorbani M¹ ; Naderan M¹
Source: Cornea Published:2020

Abstract

Purpose:To assess the efficacy and safety of combined intracameral sulfur hexafluoride and full-Thickness corneal sutures in the treatment of acute corneal hydrops (CH).Methods:This is an uncontrolled series of cases with keratoconus (KC), keratoglobus (KG), and pellucid marginal degeneration that presented with CH of recent onset.Result:Thirteen patients completed the study. The mean corneal thickness before treatment was 1,310 556 m, which significantly reduced to 660 ± 148 m at week 1 postoperatively (P = 0.001). It took 11.5 ± 6.5 days for corneal edema to resolve with a minimum and maximum of 5 and 24 days, respectively. Corrected distance Snellen visual acuity (CDVA) significantly improved from 0.04 ± 0.03 before treatment to 0.08 ± 0.06 at week 1 (P = 0.035) and continued to improve through month 1 [(0.11 ± 0.05), P = 0.007] and month 3 [(0.15 ± 0.08), P = 0.002]. No patient needed re-Treatment with gas injection, and no complication was detected during the follow-up period.Conclusions:Combined intracameral gas injection and approximation sutures are probably effective and safe for the treatment of acute CH. This treatment results in rapid recovery with very rare complications. © 2020 Lippincott Williams and Wilkins. All rights reserved.