Affiliation:
1. Department of Ophthalmology, Dr. R. P. Centre for Ophthalmic Sciences, AIIMS, New Delhi, India
Abstract
Herein, we report an unusual case of corneal perforation presenting with acute hydrops. A 70- year-old male presented with complaints of sudden painful diminution of vision in the left eye, along with watering and foreign body sensation, following a history of trauma with fingernail. Anterior segment evaluation showed mild conjunctival congestion and diffuse corneal edema with few bullae. There was inferior corneal thinning and protrusion resembling the appearance of a pellucid marginal degeneration with acute hydrops. However, intraoperatively, it was found to be a partial-thickness corneal laceration with edematous lacerated anterior corneal flap, which was repaired with 10-0 monofilament interrupted sutures. Longstanding lamellar corneal laceration with resultant edema of the superficial lacerated corneal flap might mimic an acute corneal hydrops presentation.