Full-Thickness Compressive Corneal Sutures with Removal of Anterior Chamber Air Bubble in the Management of Acute Corneal Hydrops

Acute hydrops is a rare complication of corneal ectatic disease, which occurs secondary to Descemet membrane break. Spontaneous resolution of this condition is associated with longstanding ocular discomfort and corneal scar. Intracameral gas/air injection with or without corneal suturing, anterior s...

Full description

Bibliographic Details
Main Authors: Zahra Ashena, Ritika Mukhija, Mayank A. Nanavaty
Format: Article
Language:English
Published: MDPI AG 2023-01-01
Series:Vision
Subjects:
Online Access:https://www.mdpi.com/2411-5150/7/1/10
_version_ 1827747270021349376
author Zahra Ashena
Ritika Mukhija
Mayank A. Nanavaty
author_facet Zahra Ashena
Ritika Mukhija
Mayank A. Nanavaty
author_sort Zahra Ashena
collection DOAJ
description Acute hydrops is a rare complication of corneal ectatic disease, which occurs secondary to Descemet membrane break. Spontaneous resolution of this condition is associated with longstanding ocular discomfort and corneal scar. Intracameral gas/air injection with or without corneal suturing, anterior segment ocular coherence tomography (ASOCT)-guided drainage of intrastromal fluid, and penetrating keratoplasty are some of the described surgical interventions to manage this condition. The purpose of our study was to assess the effect of full-thickness corneal suturing as a solo treatment in the management of acute hydrops. A total of five patients with acute hydrops received full-thickness corneal sutures perpendicular to their Descemet break. A complete resolution of symptoms and corneal oedema was observed between 8 to 14 days post-operation with no complications. This technique is simple, safe, and effective in the management of acute hydrops and saves patients from a corneal transplant in an inflamed eye.
first_indexed 2024-03-11T05:45:44Z
format Article
id doaj.art-5a3293bd6c5f4591b8b748181496f479
institution Directory Open Access Journal
issn 2411-5150
language English
last_indexed 2024-03-11T05:45:44Z
publishDate 2023-01-01
publisher MDPI AG
record_format Article
series Vision
spelling doaj.art-5a3293bd6c5f4591b8b748181496f4792023-11-17T14:24:49ZengMDPI AGVision2411-51502023-01-01711010.3390/vision7010010Full-Thickness Compressive Corneal Sutures with Removal of Anterior Chamber Air Bubble in the Management of Acute Corneal HydropsZahra Ashena0Ritika Mukhija1Mayank A. Nanavaty2Sussex Eye Hospital, Brighton & Sussex University Hospitals NHS Trust, Eastern Road, Brighton BN2 5BF, UKSussex Eye Hospital, Brighton & Sussex University Hospitals NHS Trust, Eastern Road, Brighton BN2 5BF, UKSussex Eye Hospital, Brighton & Sussex University Hospitals NHS Trust, Eastern Road, Brighton BN2 5BF, UKAcute hydrops is a rare complication of corneal ectatic disease, which occurs secondary to Descemet membrane break. Spontaneous resolution of this condition is associated with longstanding ocular discomfort and corneal scar. Intracameral gas/air injection with or without corneal suturing, anterior segment ocular coherence tomography (ASOCT)-guided drainage of intrastromal fluid, and penetrating keratoplasty are some of the described surgical interventions to manage this condition. The purpose of our study was to assess the effect of full-thickness corneal suturing as a solo treatment in the management of acute hydrops. A total of five patients with acute hydrops received full-thickness corneal sutures perpendicular to their Descemet break. A complete resolution of symptoms and corneal oedema was observed between 8 to 14 days post-operation with no complications. This technique is simple, safe, and effective in the management of acute hydrops and saves patients from a corneal transplant in an inflamed eye.https://www.mdpi.com/2411-5150/7/1/10full thickness suturingkeratoconushydrops
spellingShingle Zahra Ashena
Ritika Mukhija
Mayank A. Nanavaty
Full-Thickness Compressive Corneal Sutures with Removal of Anterior Chamber Air Bubble in the Management of Acute Corneal Hydrops
Vision
full thickness suturing
keratoconus
hydrops
title Full-Thickness Compressive Corneal Sutures with Removal of Anterior Chamber Air Bubble in the Management of Acute Corneal Hydrops
title_full Full-Thickness Compressive Corneal Sutures with Removal of Anterior Chamber Air Bubble in the Management of Acute Corneal Hydrops
title_fullStr Full-Thickness Compressive Corneal Sutures with Removal of Anterior Chamber Air Bubble in the Management of Acute Corneal Hydrops
title_full_unstemmed Full-Thickness Compressive Corneal Sutures with Removal of Anterior Chamber Air Bubble in the Management of Acute Corneal Hydrops
title_short Full-Thickness Compressive Corneal Sutures with Removal of Anterior Chamber Air Bubble in the Management of Acute Corneal Hydrops
title_sort full thickness compressive corneal sutures with removal of anterior chamber air bubble in the management of acute corneal hydrops
topic full thickness suturing
keratoconus
hydrops
url https://www.mdpi.com/2411-5150/7/1/10
work_keys_str_mv AT zahraashena fullthicknesscompressivecornealsutureswithremovalofanteriorchamberairbubbleinthemanagementofacutecornealhydrops
AT ritikamukhija fullthicknesscompressivecornealsutureswithremovalofanteriorchamberairbubbleinthemanagementofacutecornealhydrops
AT mayankananavaty fullthicknesscompressivecornealsutureswithremovalofanteriorchamberairbubbleinthemanagementofacutecornealhydrops