title: Spontaneous Resolution of Acute Corneal Hydrops in a Patient With Post-LASIK Ectasia.
abstract: OBJECTIVE
  To describe a case of acute corneal hydrops in a patient with corneal ectasia after laser in situ keratomileusis (LASIK).
  
  
  METHODS
  An observational study presenting clinical, slit-lamp, and optical coherence tomographic findings.
  
  
  RESULTS
  A 66-year-old man with a history of moderate myopic astigmatism presented with a sudden loss of vision in his left eye 11 years after undergoing LASIK. He underwent a single enhancement in his left eye and was subsequently diagnosed with ectasia 9 years later. Slit-lamp examination demonstrated a small tear in the Descemet membrane with a large fluid-filled cleft separating the LASIK flap and extending to the flap edge. Because no aqueous humor leakage was detected, the patient was managed conservatively with eventual resolution of the fluid-filled cleft and return of 20/30 visual acuity.
  
  
  CONCLUSIONS
  Acute corneal hydrops is a rare complication of post-LASIK corneal ectasia. In the absence of flap dehiscence and wound leak, such patients may be managed with simple observation.
authors.affiliation: Department of Ophthalmology, Froedtert Hospital and the Medical College of Wisconsin, Milwaukee, WI.
authors.forename: Matthew D
authors.initials: MD
authors.lastname: Cooke
authors.forename: Steven B
authors.initials: SB
authors.lastname: Koenig
mesh_terms: D000208:Acute Disease; D000368:Aged; D015715:Corneal Edema / Q000209:etiology / Q000503:physiopathology*; D063171:Corneal Pachymetry; D004108:Dilatation, Pathologic; D006801:Humans; D020731:Keratomileusis, Laser In Situ; D054018:Lasers, Excimer / Q000627:therapeutic use; D008297:Male; D011183:Postoperative Complications; D012075:Remission, Spontaneous