Acute Corneal Hydrops!

Acute Corneal Hydrops!
A 15 year old male was brought in with complain of pain and sudden diminution of vision in his left eye for last two weeks. On examination he was found to be having advanced Keratoconus in both eyes with associated hydrops in his left eye.
Corneal hydrops is a complication of advanced keratoconus and is characterized by sudden onset of severe corneal opacification because of edema. The edema occurs from a spontaneous break in Descemet’s membrane because of the weakened cornea, leading to a sudden and painful decrease in visual acuity. This visually threatening complication can be prevented by screening of children for Keratoconus by corneal topography/Pentacam and timely surgical intervention by C3R (corneal collagen crosslinking).