Abstract

We report a patient with successful visual rehabilitation of corneal hydrops in keratoconus using medical management and scleral lens implementation as an alternative to corneal transplantation or surgical intervention. This is a case report of a 27-year-old man with keratoconus who developed acute corneal hydrops in his left eye. Following medical management of his eye, the patient developed a central corneal scar, which was eventually corrected to 20/20 best corrected visual acuity (BCVA) through scleral lens use. The dramatic flattening on tomography in this patient demonstrates the natural course of corneal hydrops. Even with a central corneal scar, whether a patient has had hydrops or not, a scleral lens may dramatically improve vision and possibly avoid a corneal transplant.

Keywords

corneal hydrops, KMax, keratoconus, scleral lens, corneal transplant