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Case report
Rapid spontaneous resolution of corneal hydrops in post-CXL keratitis
  1. Toshit Varshney,
  2. Siddhi Goel,
  3. Rahul Kumar Bafna and
  4. Namrata Sharma
  1. Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, Delhi, India
  1. Correspondence to Dr Toshit Varshney; t1varshney{at}gmail.com

Abstract

An 11-year-old boy presented with right eye post-Corneal Collagen Cross-Linking (CXL) keratitis, which was complicated by acute corneal hydrops (CH). Keratitis was managed by topical antibiotics, and CH was managed conservatively. Cornea was monitored with serial anterior segment optical coherence tomography (ASOCT) scans. Spontaneous resolution of CH usually takes 8–12 weeks, but in this case it completely resolved in 3 weeks. Rapid resolution of CH after post-CXL keratitis could be attributed to a thinner cornea, increased interlamellar cohesive strength between collagen fibrils of corneal stroma coupled with normal functioning endothelial pump.

  • anterior chamber
  • visual pathway

https://doi.org/10.1136/bcr-2021-246141

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    Footnotes

    • Twitter @tvarshney

    • Contributors TV was the primary point of contact and helped in data collection, literature review. SG and RKB helped in the primary drafting of the manuscript. NS did a critical review and final approval of the manuscript.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.