Effectiveness of full-thickness corneal compressive suture in acute hydrops: Two cases

Abstract

Aim: The aim of this study was to demonstrate the effectiveness of compressive sutures for rapid resolution of acute hydrops in keratoconus cases.

Case reports: Two young adult patients having keratoconus presented with sudden painful marked dimness of vision associated with watering and photophobia in their left eyes for about 2 weeks. Visual acuity was counting finger-to-hand movement. The examination showed a markedly opaque edematous cornea without any visibility of the pupil, lens, and posterior segment. Patients were diagnosed with acute hydrops. Patients underwent fullthickness corneal compressing sutures under peribulbar anesthesia. Patients were post-operatively treated with topical corticosteroid, antibiotic, cycloplegic, and hypertonic saline. On days 48 and 32, respectively, the total resolution of corneal edema with the central scar was seen in both of the patients. Vision improved to 3/60 and 6/60, respectively, and symptoms decreased. Both patients were advised for penetrating keratoplasty for further improvement of vision.

Conclusion: Full-thickness corneal compressive sutures quickly resolve acute hydrops of keratoconus.