Abstract

PURPOSE: To assess the effect of full-thickness compressive corneal suturing with air descemetopexy (FTCCS-AD) in acute hydrops in a patient with Down syndrome
METHODS: Case review
RESULTS: A 19-year-old female with Down syndrome presented with a sudden diminution of vision in her left eye for one day. Ocular examination showed left eye central ectasia with corneal edema suggestive of acute corneal hydrops and a right eye central leucomatous corneal scar after healed hydrops. Initially, medical management was tried. After two weeks, diffuse limbal-to-limbal ectasia and corneal edema were noted. She was planned for FTCCS-AD. Eight radial, full-thickness compression sutures were taken in the mid-periphery with full chamber air injection. Corneal edema resolved completely after seven weeks.
CONCLUSION: FTCCS-AD is an effective therapy to accelerate the resolution of corneal edema in acute hydrops, especially in patients with Down syndrome where keratoplasty has poor outcomes.