Anderson Justin, Grinnell Ryan, Domanski Kristina, Baydoun Jamie
University of Nevada, Las Vegas, Kirk Kerkorian School of Medicine, Las Vegas, Nevada.
University Medical Center of Southern Nevada, Emergency Department, Las Vegas, Nevada.
Clin Pract Cases Emerg Med. 2024 Nov;8(4):386-387. doi: 10.5811/cpcem.25351.
A 32-year-old male with a history of left eye keratoconus presented to the emergency department with left eye pain and blurry vision for two days. Out of concern for corneal hydrops, ophthalmology was consulted, and the diagnosis was confirmed. Per ophthalmology recommendations, the patient was started on hypertonic saline and prednisolone eye drops and referred to a corneal specialist.
Corneal hydrops is characterized by stromal edema caused by leakage of aqueous humor due to rupture of Descemet membrane. This case describes a patient with a keratoconus deformity who developed corneal hydrops.
一名32岁男性,有左眼圆锥角膜病史,因左眼疼痛和视力模糊两天就诊于急诊科。出于对角膜水肿的担忧,咨询了眼科,诊断得到确认。根据眼科建议,患者开始使用高渗盐水和泼尼松龙眼药水,并转诊至角膜专科医生处。
角膜水肿的特征是由于后弹力层破裂导致房水渗漏引起的基质水肿。本病例描述了一名患有圆锥角膜畸形并发生角膜水肿的患者。