Sudden Vision Loss with Keratoconus? It Could Be Corneal Hydrops

What is Acute Corneal Hydrops?

Acute corneal hydrops is an uncommon complication of keratoconus. As keratoconus progresses, the cornea becomes thinner and weaker. Occasionally, the inner supporting layer of the cornea(Descemet's membrane) develops a tear, allowing fluid from inside the eye to enter the cornea. The result is sudden corneal swelling causing rapid vision loss, glare, discomfort and difficulty wearing contact lenses.

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Symptoms That Should Never Be Ignored

- Sudden blurred vision
- A white or cloudy patch on the cornea
- Pain or discomfort
- Increased light sensitivity
- Excessive tearing
- Difficulty wearing contact lenses
- Vision changing dramatically over hours or days

Why Early Assessment Matters

Not every cloudy cornea is hydrops. Cornealinfections and other conditions can appear similar but require differenttreatment. An urgent examination allows confirmation of the diagnosis,exclusion of infection, advanced imaging, monitoring of healing and timelyreferral when appropriate.

How We Assess Keratoconus

We use slit lamp biomicroscopy, cornealtopography, corneal tomography, anterior segment OCT and pachymetry to diagnoseand monitor keratoconus and suspected hydrops.

Recovery

Most cases gradually improve over weeks to months. During recovery we monitor corneal clarity, thickness, healing and vision, and many patients can later be successfully fitted with Rose K, scleral, EyeSpace Ectasia or other specialty contact lenses.

Why Choose Rose Optometry

Rose Optometry has cared for patients with keratoconus for decades. Founded by Paul Rose, developer of the internationally recognised Rose K lens, our team continues to contribute to research and innovation through the New Zealand Eye Research Centre (NZERC).

If you have keratoconus and develop suddenblurred vision, pain, light sensitivity or a white patch on your eye, contactRose Optometry immediately for an urgent assessment. Early diagnosis can make asignificant difference to your comfort and long-term vision. Book online.

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References

·      Global Consensus on Keratoconusand Ectatic Diseases. Cornea. 2015.

·      AAO Preferred Practice Pattern:Corneal Ectasia and Keratoconus.

·      Maharana PK et al. Managementof acute corneal hydrops in keratoconus. Indian J Ophthalmol. 2013.

·      Tuft SJ et al. Acute cornealhydrops in keratoconus. Ophthalmology. 1994.

·      Gokul A, Patel DV, McGhee CNJ.Contemporary management of keratoconus.

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