Kucumen Beril R, Yenerel Nursal Melda, Gorgun Ebru, Dinc Umut Asli
Department of Ophthalmology, Yeditepe University Eye Hospital, Gazi Umur Pasa Sok.25, Balmumcu, Besiktas, Istanbul, Turkey.
Ophthalmic Surg Lasers Imaging. 2010 Nov-Dec;41 Suppl:S114-6. doi: 10.3928/15428877-20101031-12.
The authors describe the anterior segment optical coherence tomography (AS-OCT) findings of a 25-year-old patient with acute hydrops associated with keratoconus. The patient presented with decreased visual acuity, pain, and redness in the left eye. The symptoms, clinical presentation, and topographical findings of the right eye confirmed this condition to be acute corneal hydrops. The patient was closely followed up with hyper-osmotic (NaCl 5%) and nonsteroidal anti-inflammatory (ketorolac tromethamine 0.5%) topical treatment. At the initial examination and during follow-up, the evaluation of the anterior segment was performed using optical coherence tomography. Changes in the stroma and Descemet's membrane during the healing process of acute hydrops could be demonstrated by high-resolution AS-OCT.
作者描述了一名25岁圆锥角膜相关急性角膜水肿患者的眼前节光学相干断层扫描（AS-OCT）结果。该患者左眼出现视力下降、疼痛和眼红症状。右眼的症状、临床表现和地形图检查结果证实为急性角膜水肿。对该患者采用高渗（5%氯化钠）和非甾体抗炎（0.5%酮咯酸氨丁三醇）局部治疗并密切随访。在初次检查及随访期间，使用光学相干断层扫描对眼前节进行评估。高分辨率AS-OCT能够显示急性角膜水肿愈合过程中基质和Descemet膜的变化。
