Perforated corneal hydrops treated with sulfur hexafluoride (SF6) gas and tissue adhesive.
OBJECTIVE
To report a case of a perforated acute hydrops in a mentally retarded patient that was successfully managed with intracameral sulfur hexafluoride gas and cyanoacrylate tissue adhesive.


METHODS
Interventional case report.


RESULTS
A 14-year-old mentally retarded male patient with keratoconus presented with a perforated acute hydrops. A bandage contact lens was applied. However, following a large emesis 2 days later, the aqueous leak worsened with shallowing of the anterior chamber. Under general anesthesia, sulfur hexafluoride was injected to reform the anterior chamber and cyanoacrylate tissue adhesive was applied to the perforated site and covered by a bandage contact lens and temporary tarsorrhaphy. A follow-up examination at 1 month showed a formed anterior chamber with tissue adhesive in situ and no aqueous leak.


CONCLUSIONS
The successful use of intracameral sulfur hexafluoride and tissue adhesive in the management of perforated acute hydrops may avoid emergency tectonic penetrating keratoplasty and reduce potential complications in the poorly cooperative patient.
Sii
Freda
F
City Eye Centre, Brisbane, Queensland, Australia.
Lee
Graham A
GA
Gole
Glen A
GA
D000293:Adolescent; D000867:Anterior Chamber; D015715:Corneal Edema / Q000150:complications / Q000188:drug therapy* / Q000473:pathology; D003320:Corneal Ulcer / Q000150:complications / Q000188:drug therapy* / Q000473:pathology; D003487:Cyanoacrylates / Q000627:therapeutic use*; D005740:Gases / Q000008:administration & dosage* / Q000627:therapeutic use; D006801:Humans; D007267:Injections; D008297:Male; D013459:Sulfur Hexafluoride / Q000008:administration & dosage* / Q000627:therapeutic use; D014014:Tissue Adhesives / Q000627:therapeutic use*; D016896:Treatment Outcome
D003487:Cyanoacrylates; D005740:Gases; D014014:Tissue Adhesives; D013459:Sulfur Hexafluoride