ABSTRACT
Acute corneal hydrops describes an abnormal accumulation of fluid in the corneal stroma caused by the acute disruption of Descemet's membrane in the background of corneal ectasia. Although majority of the cases are associated with keratoconus, it has also been seen with pellucid marginal degeneration (PMD), keratoglobus, Terrien's marginal degeneration (TMD), laser in situ keratomileusis (LASIK)-associated keratectasia, keratectasia after radial keratotomy (RK) deep anterior lamellar keratoplasty (DALK) and penetrating keratoplasty (PKP). Pneumatic descemetopexy using sulphur hexafluoride (SF6) was performed and a bandage contact lens (BCL) was placed on the cornea at the end of the procedure to provide temporary symptomatic relief. The hydrops healed with a macular corneal opacity and the patient was asked to continue the use of RGP and follow-up regularly.
