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Keratoconus presenting with bilateral simultaneous acute corneal hydrops
Affiliation:1. Department of Biology, University of Sistan and Baluchestan, Zahedan, Iran;2. Department of Ophthalmology, Al-Zahra Eye Hospital, Zahedan University of Medical Sciences, Zahedan, Iran;1. Department of Biochemistry and Molecular Biology, Ajou University, School of Medicine, Suwon 443-721, Republic of Korea;2. Department of Microbiology, Ajou University, School of Medicine, Suwon 443-721, Republic of Korea
Abstract:PurposeTo report a case of unknown keratoconus presenting with bilateral simultaneous acute corneal hydrops.MethodsCase report.ResultsA case of a 12-year-old male patient with Leber congenital amaurosis (LCA) presented with sudden whitening and lacrimation for 2 days in both eyes simultaneously. At the initial examination, there were bilateral acute corneal hydrops, enophthalmic eyes and roving nystagmus. Ultrasonography revealed clear crystalline lenses and attached retina. Initial management consisted of topical hypertonic solutions, steroids and artificial tears.ConclusionBilateral simultaneous acute corneal hydrops has not been reported before in the literature. It may be the presenting sign of keratoconus.
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