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Year : 2023  |  Volume : 3  |  Issue : 1  |  Page : 35-37

Coincidental occurrence of severe hydrops after corneal collagen cross-linking

1 Cornea and Anterior Segment Services, L J Eye Institute, Ambala, Haryana, India
2 Cornea and Anterior Segment Services, Sankara Nethralaya, Chennai, Tamil Nadu, India
3 Department of Ophthalmology, AIIMS, Nagpur, Maharashtra, India

Correspondence Address:
Vikas Mittal
Cornea and Anterior Segment Services, L J Eye Institute, 251, Model Town, Ambala City - 134 002, Haryana
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijo.IJO_1325_22

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This case report describes a case of acute corneal hydrops (ACH) within 4 days following collagen cross-linking that was done to arrest the progression of keratoconus in a 15-year-old girl. She developed pain, redness, and watering in the left eye within 4 days of undergoing an uneventful bilateral corneal collagen cross-linking. The diagnosis of ACH was made and was managed medically with a course of topical steroids. A large fluid-filled stromal pocket with iris adhering to the posterior surface was observed that resolved with stromal scarring after the treatment. Thus, ACH may be precipitated by cross-linking and needs to be managed appropriately.

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