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Middle East African Journal of Ophthalmology Middle East African Journal of Ophthalmology
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Year : 2016  |  Volume : 23  |  Issue : 1  |  Page : 156-159

Acute corneal hydrops 3 years after Intra-corneal ring segments and corneal collagen Cross-linking

1 Department of Ophthalmology, American University of Beirut, Faculty of Medicine, Lebanon, United Arab Emirates
2 Beirut Eye Specialist Hospital; Saint-Joseph University, Faculty of Medicine Beirut, Lebanon, United Arab Emirates
3 Saint-Joseph University, Faculty of Medicine Beirut, Lebanon, United Arab Emirates
4 Beirut Eye Specialist Hospital, Dubai, United Arab Emirates
5 Beirut Eye Specialist Hospital; Mediclinic, Dubai Mall, Dubai, United Arab Emirates

Correspondence Address:
Elias Jarade
Beirut Eye Specialist Hospital, Al-Mathaf Square, Beirut P. O. Box. 116.5311
United Arab Emirates
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0974-9233.171826

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This case report describes a 15-year-old male with allergic conjunctivitis and keratoconus, who underwent uneventful intra-corneal ring segment (ICRS) implantation and corneal collagen cross-linking (CXL) in the right eye. During the follow-up periods, the patient was noted to have several episodes of allergic conjunctivitis that were treated accordingly. At the 2 years postoperatively, he presented with another episode of allergic conjunctivitis and progression of keratoconus was suspected on topography. However, the patient was lost to follow-up, until he presented with acute hydrops at 3 years postoperatively. There are no reported cases of acute corneal hydrops in cross-linked corneas. We suspect the young age, allergic conjunctivitis and eye rubbing may be a risk factors associated with possible progression of keratoconus after CXL. Prolonged follow-up and aggressive control of the allergy might be necessary in similar cases.

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