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To show the efficacy of compressive sutures alone in the management of acute hydrops in a keratoconus patient

BMJ case reports, 2017-05, Vol.2017, p.bcr-2016-218843 [Peer Reviewed Journal]

BMJ Publishing Group Ltd (unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted. ;Copyright: 2017 (c) BMJ Publishing Group Ltd (unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted. ;BMJ Publishing Group Ltd (unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted. 2017 ;ISSN: 1757-790X ;EISSN: 1757-790X ;DOI: 10.1136/bcr-2016-218843 ;PMID: 28473428

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Title:
To show the efficacy of compressive sutures alone in the management of acute hydrops in a keratoconus patient
Author: Subudhi, Praveen ; Khan, Zahiruddin ; Subudhi, B Nageswar Rao ; Sitaram, Silla
Subjects: Acute Disease ; Adolescent ; Aftercare ; Asia ; Cornea - pathology ; Cornea - surgery ; Corneal Edema - complications ; Corneal Edema - diagnosis ; Corneal Edema - surgery ; Descemet Membrane - pathology ; Descemet Membrane - surgery ; Edema - complications ; Edema - surgery ; Fluorocarbons - therapeutic use ; Humans ; Indian Sub-Continent ; Keratoconus - complications ; Keratoconus - diagnosis ; Keratoconus - surgery ; Male ; Novel Treatment (New Drug/Intervention; Established Drug/Procedure in New Situation) ; Suture Techniques ; Sutures - statistics & numerical data ; Sutures - trends ; Treatment Outcome ; Vision Disorders - diagnosis ; Vision Disorders - drug therapy
Is Part Of: BMJ case reports, 2017-05, Vol.2017, p.bcr-2016-218843
Description: A 17-year-old boy presented with sudden loss of vision in the left eye (OS) for 3 days. He was diagnosed with acute hydrops following keratoconic progression in OS. The patient was initially started on topical medical therapy, including steroids and hypertonic eye drops; showing no signs of resolution. Hence, the patient was planned for full-thickness compressive corneal sutures. Four sutures were placed along the central oedematous area covering the area of ruptured Descemet’s membrane. Signs of resolution were noticed by 1st week and there was complete resolution of oedema by 3rd post-op week. Sutures were removed by 7th postoperative week/45th day. The patient was doing fine with visual acuity of 6/60 in the last visit with no symptoms of discomfort and no signs of corneal vascularisation. Full-thickness corneal compressive sutures is an effective alternative in cases of acute hydrops if perfluoropropane gas is not available.
Publisher: England: BMJ Publishing Group LTD
Language: English
Identifier: ISSN: 1757-790X
EISSN: 1757-790X
DOI: 10.1136/bcr-2016-218843
PMID: 28473428
Source: GFMER Free Medical Journals
MEDLINE
PubMed Central
ProQuest Central

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To show the efficacy of compressive sutures alone in the management of acute hydrops in a keratoconus patient

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