Aim:The aim of this study was to demonstrate the effectiveness of compressive sutures for rapid resolution ofacute hydrops in keratoconus cases. Case reports:Two young adult patients having keratoconus presented with sudden painful marked dimness ofvision associated with watering and photophobia in their left eyes for about 2 weeks. Visual acuity was countingfinger-to-hand movement. The examination showed a markedly opaque edematous cornea without any visibilityof the pupil, lens, and posterior segment. Patients were diagnosed with acute hydrops. Patients underwent full-thickness corneal compressing sutures under peribulbar anesthesia. Patients were post-operatively treated withtopical corticosteroid, antibiotic, cycloplegic, and hypertonic saline. On days 48 and 32, respectively, the totalresolution of corneal edema with the central scar was seen in both of the patients. Vision improved to 3/60 and6/60, respectively, and symptoms decreased. Both patients were advised for penetrating keratoplasty for furtherimprovement of vision. Conclusion:Full-thickness corneal compressive sutures quickly resolve acute hydrops of keratoconus.

Aim: To describe the temporary management of corneal perforation by using dried sclera patch graft prior keratoplasty when donor tissue not available. Case report: Two cases of corneal perforation (>2mm) of various causes presented with severely decreased vision and shallow anterior chamber and soft eye ball. Both needed immediate therapeutic keratoplasty to save the globe and restore the vision. Due to unavailability of donor cornea, both patients were surgically managed with dried scleral patch graft temporarily to save the globe. Both patients underwent therapeutic keratoplasty one moth and one and half months respectively. Both patients gained better vision (6/18 and 6/24 respectively), quiet anterior chamber and no secondary glucoma after 6 month of keratoplasty. Conclusion: Dried sclera patch graft is a good option for temporary management of corneal perforation of various causes until a donor cornea is available. These patch grafts prevent ocular hypotony, posterior synechiea and secondary glucoma.