Skip to main content
SpringerLink
Log in

Managing Acute Corneal Hydrops in Keratoconus

  • Chapter
  • First Online:
Keratoconus

  • 531 Accesses

Abstract

A new surgical technique for the treatment of acute keratoconus is described. Descemetoplasty accelerates edema regression and healing of a ruptured Descemet’s membrane. It prevents vascularization in cases of extensive edema, and no complication was found in a group of cases studied.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 139.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 179.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 249.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Thomas CE. The cornea. Springfield, Thomas; 1955, pp. 244–6.

    Google Scholar 

  2. Berner GF. Conical cornea complicated by acute ectasia. Am J Ophthalmol. 1934;17:22–3.

    Google Scholar 

  3. Wolter JR, Henderson JW, Clahassey EG. Ruptures of Descemet’s membrane in keratoconus (causing acute hydrops posterior keratoconus). Am J Ophthalmol. 1967;68(6):1689–91.

    Google Scholar 

  4. Shaw EL. Pathophysiology and treatment of corneal hydrops. Ophthalmic Surg. 1976;7:33.

    Google Scholar 

  5. Slusher MM, Laibson PR, Mulberger RD. Acute keratoconus in Down’s syndrome. Am J Ophthalmol. 1968;66:1137–43.

    Google Scholar 

  6. Terry TL, Chisholm JF. Studies or keratoconus relative to the effect of prolonged application of pressure. Am J Ophthalmol. 1940;23:1089–112.

    Google Scholar 

  7. Rychener RO, Kirby DB. Acute hydrops of the cornea complicating keratoconus. Arch Ophthalmol. 1940;24:326–40.

    Google Scholar 

  8. Cogan DG. Vascularisation of the cornea. Its experimental induction by small lesion and a new theory of its pathogenesis. Arch Ophthalmol. 1949;41:406–16.

    Google Scholar 

  9. Rowson NY, Dart JK, Buckley RJ. Corneal neovascularization in acute hydrops. Eye. 1992;6(Pt 4):404–6.

    Google Scholar 

  10. Cvintal T. Descemetoplastia em ceratocone agudo. Presented at the Society Iberoamericana Conference; Caracas; 1993.

    Google Scholar 

  11. Sparks G. Descemetopexy. Arch Ophthalmol. 1967;78:31–4.

    Google Scholar 

  12. Maharana KP, Sharma N, Vaipayee RB. Acute corneal hydrops in keratoconus. Indian J Ophthalmol. 2013;61(8):461–4.

    Google Scholar 

  13. Tuft SJ, Gregory WM, Buckley RJ. Acute corneal hydrops in keratoconus. Indian J Ophthalmol. 1994;101:1738–44.

    Google Scholar 

  14. Barsam A, Petrushkin H, Brennan N, et al. Acute corneal hydrops in keratoconus a national prospective study of incidence and management. Eye (Lond). 2015;29:469–74.

    Google Scholar 

  15. Fuentes E, Sandali O, El Sanharawi M, et al. Anatomic predictive factors of acute corneal hydrops in keratoconus; an optical coherence tomography study. Ophthalmology. 2015;122:1653–9.

    Google Scholar 

  16. Lockington D, Gaskin JCF, McGhee CNJ, Patel DV. A prospective study of acute corneal hydrops by in vivo confocal microscopy in a New Zealand population with keratoconus. Br J Ophthalmol. 2014;98(9):1296–302.

    Google Scholar 

  17. Fan Gaskin JC, Good WR, Jordan CA, et al. The Auckland Keratoconus Study: identifying predictors of acute corneal hydrops in keratoconus. Clin Exp Optom. 2013;96:208–13.

    Google Scholar 

  18. Laing RA, Sandstrom MM, Berrospi AR, Leibowitz HM. The human corneal endothelium in keratoconus: a specular microscopic study. Arch Ophthalmol. 1979;97:1867–9.

    Google Scholar 

  19. Miyata K, Tsuji, Tanabe T, et al. Intracameral air injection for acute hydrops in keratoconus. Am J Ophthalmol. 2002;133:750–2.

    Google Scholar 

  20. Shah SG, Sridhar MS, Sangwan VS. Acute corneal hydrops treated by intracameral perfluoropropane (C3F8) gas. Am J Ophthalmol. 2005;139:368–70.

    Google Scholar 

  21. Subudhi P, Khan Z, Subudhi BNR, Sitaram S. To show the efficacy of compressive sutures alone in the management of acute hydrops in a keratoconus patient. BMJ Case Rep. 2017;2017:bcr2016218843. https://doi.org/10.1136/bcr-2016-218843.

  22. Kiire C, Srinivasan S. Management of bilateral acute hydrops secondary to keratoglobus with perfluoroethane (C2F1) pneumodescemetopexy. Clin Exp Ophthalmol. 2009;37:892–4.

    Google Scholar 

  23. Alio JL, Toprak I, Rodriguez AE. Treatment of severe keratoconus hydrops with intracameral platelet-rich plasma injection. Cornea. 2019;38:1595–8.

    Google Scholar 

  24. Freda S, Graham AL, Gole GA. Perforated corneal hydrops treated with sulfur hexafluoride (SF6) gas and tissue adhesive. Cornea. 2005;24:503–4.

    Google Scholar 

  25. Basu S, Vaddavalli PK. Intracameral perfluoropropane gas in the treatment of acute corneal hydrops. Ophthalmology. 2011;118:934–9.

    Google Scholar 

  26. Gomes JA, Tan D, Rapuano CJ, et al. Global consensus on keratoconus and ectatic diseases. Cornea. 2015;34(4):359–69.

    Google Scholar 

  27. Teng CC. Electron microscope study of the pathology of keratoconus: I. Am J Ophthalmol. 1963;55:18–47. https://doi.org/10.1016/0002-9394(63)91645-3.

  28. Bachmann B, Händel A, Siebelmann S, Matthaei M, Cursiefen C. Mini-Descemet membrane endothelial keratoplasty for the early treatment of acute corneal hydrops in keratoconus. Cornea. 2019;38(8):1043–48. https://doi.org/10.1097/ICO.0000000000002001.

Download references

Author information

Authors and Affiliations

  1. Instituto de Oftalmologia Tadeu Cvintal, São Paulo, SP, Brazil

    Tadeu Cvintal & Victor Cvintal

Authors
  1. Tadeu Cvintal
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Victor Cvintal
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Provisão Eye Hospital of Maringá, Maringá, Paraná, Brazil

    Edna Almodin

  2. Federal University of São Paulo, São Paulo, São Paulo, Brazil

    Belquiz Amaral Nassaralla

  3. Nucleo de Medicina Ocular, Goiânia, Goiás, Brazil

    Jordana Sandes

Rights and permissions

Reprints and permissions

Copyright information

© 2022 The Author(s), under exclusive license to Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Cvintal, T., Cvintal, V. (2022). Managing Acute Corneal Hydrops in Keratoconus. In: Almodin, E., Nassaralla, B.A., Sandes, J. (eds) Keratoconus . Springer, Cham. https://doi.org/10.1007/978-3-030-85361-7_83

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-85361-7_83

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-85360-0

  • Online ISBN: 978-3-030-85361-7

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation