Corneal Hydrops: an uncommon complication of advanced Keratoconus.

What is it about?

The cornea is outermost transparent and relatively dehydrated part of the eye consisting of epithelium, basement membrane, stroma, Dua's layer, Descemet's membrane and endothelium. Due to progressive thinning of cornea in ectactic disorders such as keratoconus, sometimes the descemet membrane may break leading to accumulation of fluid in the cornea. Secondary to which cornea looses its transparency and thus giving rise to the condition known as Acute Corneal Hydrops.

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Why is it important?

Evaluation of the extent of the Descemet's tear is an important factor in planning the management of Acute Corneal Hydrops. This article highlights the merits of AS-OCT over UBM imaging and thus delineating the cases which can worsen on perflurocarbon (C3F8)injection. Further, it is observed that conservative approach is efficacious in managing such cases.