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CASE REPORT
Year : 2022  |  Volume : 2  |  Issue : 3  |  Page : 652-654

Rare presentation of acute hydrops in bilateral advanced keratoconus in a 5-year-old child: A case report


1 Department of Cornea and Refractive Services, The Eye Foundation, Coimbatore, Tamil Nadu, India
2 Cataract and Refractive Services, The Eye Foundation, Coimbatore, Tamil Nadu, India

Correspondence Address:
Dr. Shreesha K Kodavoor
Department of Cornea and Refractive Services, The Eye Foundation Hospital, 582-A, Diwan Bahadur Rd, R S Puram West, Coimbatore - 641 002, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_3015_21

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We report a rare case of bilateral advanced keratoconus presenting with acute hydrops in a 5-year-old child with no known syndromic association and frequent eye rubbing. Pediatric consultation revealed delayed milestones and hypothyroidism with occasional seizures. Acute Hydrops was managed conservatively since fitness for intracameral perfluoropropane injection was delayed. Subsequently, the patient underwent deep anterior lamellar keratoplasty in both the eyes with good surgical outcome. Initial presentation of keratoconus with acute hydrops in a 5-year-old patient is rare. As this case was associated with hypothyroidism, global developmental delay, and seizures, it requires further investigation for any association with keratoconus.


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