Acute Hydrops With Corneal Perforation in Post-LASIK Ectasia

Abstract

Corneal hydrops with perforation in the setting of post-LASIK ectasia is extremely rare and may be associated with flap dehiscence requiring penetrating keratoplasty.

Spontaneous Resolution of Acute Corneal Hydrops in a Patient With Post-LASIK Ectasia

“…[2][3][4][5] In each case, there were recognized risk factors for ectasia including young age or forme fruste keratoconus. [2][3][4][5] In all cases, the rupture in the Descemet membrane created a fluid-filled interface between the LASIK flap and the posterior corneal stroma, and in 2 eyes, there was leak around the edge of the LASIK flap. 3,5 In each case, the surgeon chose to manage the patient by performing a penetrating keratoplasty.…”

“…7 On very rare occasions, corneal perforation may accompany acute hydrops; risk factors may include eye rubbing, pregnancy, topical corticosteroid use, and elevated intraocular pressure. 5,9 Corneal ectasia is a rare complication of LASIK and may occur years after uncomplicated refractive surgery. 10 Although the pathogenesis is not well understood, purported risk factors may include abnormal preoperative topographic findings (such as forme fruste keratoconus), low corneal pachymetry, a thin residual posterior stromal bed, high myopia, and young age.…”

“…1 In addition, the recent literature contains isolated case reports of acute corneal hydrops in patients with corneal ectasia after undergoing laser in situ keratomileusis (LASIK). [2][3][4][5] Although surgical intervention is rarely required in acute corneal hydrops associated with noniatrogenic ectasia, the management of hydrops after LASIK is less clear. We herein report the case of a patient with post-LASIK corneal ectasia who was managed successfully with medical therapy.…”

Corneal hydrops: diagnosis and treatment

“…[1] острый гидропс роговицы при далекозашедшем кератоконусе встречается с частотой до 30 %. В литературе описаны лишь единичные случаи возникновения гидропса роговицы у пациентов с вторичной эктазией роговицы после рефракционных операций [6,7]. Предполагается, это именно те ситуации, когда кератоконус не был выявлен до операции.…”

Compression Sutures to Treat Acute Hydrops in a Case of Bilateral Post-Laser In Situ Keratomileusis Ectasia

“…2 Occurrence of hydrops in a case of post-LASIK ectasia is extremely rare, and there are only a few isolated reports in the literature describing it. 3,4 We report a case of sequential bilateral acute hydrops in post-LASIK ectasia, leading to persistent interface fluid syndrome managed by full thickness compression sutures and intracameral perfluoropropane (C 3 F 8 ).…”