Posters

Acute unilateral hydrops

Poster Details

First Author: O.Hassimi MOROCCO

Co Author(s): I. El Jazouli   O. El Filali   A. Bennis   F. Chraibi   M. Abdellaoui   I. Benatiya Andaloussi     

Abstract Details

Purpose:

Unilateral keratoconus is rare disease and even rarer is the initial presentation of that single eye at the stage of acute hydrops. We present the case of a fortuitous discovery of a unilateral acute hydrops.

Setting:

The case was reported at ophthalmology department at Hassan II University Hospital, Fez. Morocco.

Methods:

Here-in we present a 22 year-old male patient with left sided keratoconus and acute hydrops. The patient came to our hospital with history of pain, redness, and sudden dimness of vision in his left eye for 3 days.

Results:

Best corrected visual acuity (BCVA) in left eye was only perception of light; The BCVA in right eye was 20/20. On slit lamp examination in the left eye there was a conical shaped cornea with corneal edema and tears in the Descemet's membrane. The intraocular pressure was 17 mm of Hg in the left eye and 18 in the right eye. The right eye was normal on slit lamp examination. On corneal topography the left eye could not be captured due to poor fixation. In the right eye corneal topography was normal; anterior segment OCT was done for both eyes.

Conclusions:

In differential diagnosis, other causes of unilateral corneal edema like HSV disciform keratitis, acute congestive glaucoma, and chemical burns needed to be excluded. The possibility of unilateral keratoconus should be kept in mind in a young patient presenting with unilateral sudden corneal edema.

Financial Disclosure:

None