Purpose: To describe new technique of intrastromal fluid drainage with intracameral air injection for management of acute corneal hydrops.
Method: Five eyes with acute hydrops underwent this technique. Anterior segment optical coherence tomography guided intrastromal fluid drainage through multiple corneal stromal venting incisions with anterior chamber air tamponade was done.
Results:Visual acuity improved from hand motions close to face preopertaively to BCVA >20/200 in all eyes and BCVA of ?20/80 in 2 eyes at three months. No intraoperative complications were observed. Descemet Membrane attached on first postoperative day in four eyes.Corneal oedema resolved over 2-3 weeks.
Conclusion: The technique of intrastromal drainage of fluid combined with air tamponade can be effectively used as a treatment modality for the management of severe cases of acute corneal hydrops.
Impact on surgical outcomes of primary vitrectomy for rhegmatogenous retinal detachment with and without the use of 360 degree laser retinopexy
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