Endoilluminator-assisted management of acute hydrops in pellucid marginal corneal degeneration (PMCD) with compression sutures and intracameral perfluropropane (C3F8)

Abstract

In this case, a male in his 30s presented to the clinic with blurring of vision, sudden whiteness, and pain in the left eye for 10 days. All preliminary examinations were recorded. He was a known case of Pellucid marginal corneal degeneration (PMCD). Clinical examination revealed corneal edema due to acute hydrops. Anterior segment optical coherence tomography (OCT) showed increased corneal thickness and a large descemets detachment. Endoilluminator-assisted compression sutures were placed along with intracameral C3F8 gas. As the tear was large, a 10-0 prolene suture was used instead of the conventional 10-0 nylon. This is the first case in literature in which acute hydrops in PMCD was managed with compression sutures (10-0 prolene) along with the injection of intracameral perfluropropane (C3F8) with the help of intraoperative use of endoilluminator.