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

Abstract

Acute corneal hydrops is a rare complication of post-LASIK corneal ectasia. In the absence of flap dehiscence and wound leak, such patients may be managed with simple observation.

Sutura corneana em hidrópsia aguda secundária à ectasia pós LASIK: relato de caso

“…Clinical treatment for corneal hydrops includes using hypertonic saline, cycloplegic drugs, and corticosteroids; however, none has a direct impact on resolving the condition. They only provide temporary relief of symptoms until spontaneous resolution occurs (7) . Injecting intracameral air or gas is a good option because it decreases contact between the aqueous fluid and the area of the tear in Descemet's membrane, decreasing stromal edema and accelerating scarring at the site (8) .…”

Management of acute corneal hydrops with intracameral gas injection

“…It is a known sequela of conditions that result in bowing and thinning of the cornea, ranging from keratoconus to laser in situ keratomileusis (LASIK)-associated ectasia. 1 , 8 Typically, it is managed medically with hypertonic saline, topical steroids, and aqueous suppressants. For ensuing visually significant scars or persistent edema, deep anterior lamellar keratoplasty or penetrating keratoplasty may be performed.…”

Scleral Lens Visual Rehabilitation of Sequential Bilateral Corneal Hydrops With Post-LASIK Ectasia

“…Although corneal hydrops occurs in approximately 2% to 3% of patients with keratoconus, 2 it is a rare complication of refractive surgery, typically occurring unilaterally due to post-LASIK ectasia. 3–5 Depending on the severity, corneal hydrops can be managed conservatively with observation, or pharmacological and surgical interventions initially, followed by a contact lens correction to improve vision when the edema has resolved. 6 This case report highlights the use of scleral lenses to correct refractive error and higher-order aberrations and improve visual acuity in a patient with post-LASIK ectasia who developed bilateral sequential corneal hydrops.…”