Treatment of Acute Corneal Hydrops With Combined Intracameral Gas and Approximation Sutures in Patients With Corneal Ectasia. Issue 2 (February 2020)

• Record Type: Journal Article
• Authors: Mohebbi, Masomeh; Pilafkan, Hadi; Nabavi, Amin; Mirghorbani, Masoud; Naderan, Morteza
• Is Part Of: Cornea. Volume 39:Issue 2(2020)
• Publication Date: 2020-02
• Subjects: keratoconus -- corneal hydrops -- corneal ectasia -- intracameral gas -- corneal suture; Cornea -- Periodicals; Cornea -- Periodicals; Cornée -- Périodiques; 617.719
• DOI: 10.1097/ICO.0000000000002155
• Languages: English
• ISSNs: 0277-3740

Abstract

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 μm, which significantly reduced to 660 ± 148 μm 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. Abstract : Supplemental Digital Content is Available in the Text.