Comparative outcomes of compression sutures with intracameral C3F8 vs C3F8 gas alone in acute corneal hydrops

Session Details

Session Title: Surgical Cornea

Session Date/Time: Tuesday 25/09/2018 | 16:30-18:00

Paper Time: 16:48

Venue: Room A3, Podium 3

First Author: : B.singh INDIA

Co Author(s): :    S. Bharti   N. Bharti                 

Abstract Details

Purpose:

To evaluate the efficacy and safety of intracameral perfluoroethane (C3F8) gas along with compression sutures versus c3f8 gas alone for the treatment of acute hydrops secondary to keratoconus.

Setting:

Bharti eye hospital, New Delhi, India

Methods:

Retrospective, interventional case series. 20 eyes of 20 patients who presented with acute hydrops secondary to keratoconus between July 2015 and June 2016 were consecutively recruited. Patients were divided into 2 groups. Group 1 case was treated with 14% iso expansile concentration of C3F8 gas along with compression sutures. Group 2 cases were treated with intracameral C3F8 gas alone. with intracameral. All the patients, followed up for 6 months.Preoperative and postoperative best-corrected visual acuities (BCVA), intraoperative and postoperative complications, and time taken for resolution of corneal edema were assessed.

Results:

The mean age of the cohort was 24.1±5.5 years. All the patients required only one injection during the treatment period. The C2F6 gas persisted in the anterior chamber between 6 and 10 days. Mean BCVA at presentation was 6/60 or less in all patients. Improvement of BCVA was achieved postoperatively in all cases (100%) patients. There was a statistically significant difference between the visual outcomes in two groups. The average time between initial presentation and complete resolution of corneal edema was 14+/-7 days in group 1 and 62.0±30 days in-group 2. No intra-operative or postoperative complication noted.

Conclusions:

compression sutures with intracameral isoexpansile concentration of C3F8 gas serves as a safe and effective treatment modality for patients with acute hydrops. Combined procedures is better then conventional intracameral gas injection.

Financial Disclosure:

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