May 2007
Volume 48, Issue 13
ARVO Annual Meeting Abstract  |   May 2007
Acute Hydrops: Incidence and Course After Clinical and Surgical Treatment
Author Affiliations & Notes
  • N. R. Salerno
    Hospital De Olhos Sadalla Amin Ghanem, Joinville, Brazil
  • L. C. Salerno
    Faculdade de Medicina, Universidade da Região de Joinville - Univille, Joinville, Brazil
  • A. L. S. Souza
    Faculdade de Medicina, Universidade da Região de Joinville - Univille, Joinville, Brazil
  • Footnotes
    Commercial Relationships N.R. Salerno, None; L.C. Salerno, None; A.L.S. Souza, None.
  • Footnotes
    Support None.
Investigative Ophthalmology & Visual Science May 2007, Vol.48, 1836. doi:
  • Views
  • Share
  • Tools
    • Alerts
      This feature is available to authenticated users only.
      Sign In or Create an Account ×
    • Get Citation

      N. R. Salerno, L. C. Salerno, A. L. S. Souza; Acute Hydrops: Incidence and Course After Clinical and Surgical Treatment. Invest. Ophthalmol. Vis. Sci. 2007;48(13):1836.

      Download citation file:

      © ARVO (1962-2015); The Authors (2016-present)

  • Supplements

Purpose:: To study the incidence of acute hydrops in a 5 year period at Hospital de Olhos Sadalla Amin Ghanem (HOSAG), in Joinville - Brazil, a reference hospital, and to compare the outcomes of the first group, who underwent clinical treatment to the second group, with surgical treatment.

Methods:: We retrospectivelly studied the charts of 428 patients with keratoconus that were seen from January 2000 to December 2005.

Results:: The number of acute hydrops was 3.9% (23 eyes of 17 patients). The mean age was 24,3 years (9 to 40 years), 12 male (70%) and 5 female (30%). The first group, 14 eyes, underwent clinical treatment, and the average recovery time was 63.5 days. The second group, 9 eyes, underwent surgery: -3 with autologus blood injection in the anterior chamber (AC); - 4 with air injection in the AC; -2 with 14% C3F8 injection in AC. The average recovery time was 20.4 days. In the first group, due to prolonged recovery time, 2 eyes developed corneal neovascularization which wasn't observed in the second group.After healing, in the first group, 6 patients (42.9%) readapted to contact lenses (CL) and 8 (57,1%) underwent penetrating keratoplasty (PKP). Both eyes that had corneal neovascularization developed graft rejection after PKP. In the second group, 5 readapted to CL (55.6%) and 4 (44.4%) underwent uneventfull PKP.

Conclusions:: We found 3.9% patients with acute hydrops in the studied population. Surgical treatment reduced recovery time, was simple, quick, almost non toxic, avoided complications as corneal neovascularization, improved life quality and the prognosis of the after-healing treatment; so it should be offered as a first option to most acute hydrops patients.

Keywords: keratoconus • degenerations/dystrophies • clinical (human) or epidemiologic studies: outcomes/complications 

This PDF is available to Subscribers Only

Sign in or purchase a subscription to access this content. ×

You must be signed into an individual account to use this feature.