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Acute Corneal Hydrops Mimicking Infectious Keratitis as Initial Presentation of Keratoconus in a 10-Year-Old Child
Purpose. To report a case of acute hydrops in a 10-year-old child with advanced keratoconus. Case Presentation. A ten-year-old boy diagnosed as having right eye (RE) infectious keratitis, not responding to antimicrobial therapy, was referred to our hospital. The diagnosis of infectious keratitis was...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi Publishing Corporation
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4396912/ https://www.ncbi.nlm.nih.gov/pubmed/25918660 http://dx.doi.org/10.1155/2015/308348 |
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author | Slim, Elise A. Jarade, Elias F. Charanek, Bilal M. Antoun, Joelle S. Hemade, Adib I. Awada, Sahar H. Fakhoury, Henry W. Cherfan, Carole G. |
author_facet | Slim, Elise A. Jarade, Elias F. Charanek, Bilal M. Antoun, Joelle S. Hemade, Adib I. Awada, Sahar H. Fakhoury, Henry W. Cherfan, Carole G. |
author_sort | Slim, Elise A. |
collection | PubMed |
description | Purpose. To report a case of acute hydrops in a 10-year-old child with advanced keratoconus. Case Presentation. A ten-year-old boy diagnosed as having right eye (RE) infectious keratitis, not responding to antimicrobial therapy, was referred to our hospital. The diagnosis of infectious keratitis was established one month prior to his presentation following an episode of acute corneal whitening, pain, and drop in visual acuity. Topical fortified antibiotics followed by topical antiviral therapy were used with no improvement. Slit lamp examination showed significant corneal protrusion with edema surrounding a rupture in Descemet's membrane in the RE. The diagnosis of acute corneal hydrops from advanced keratoconus was highly suspected and confirmed with corneal topography. Conclusion. Although a relatively rare disease at the age of 10 years, keratoconus can be rapidly progressive in the pediatric group. Keratoconus should always be considered in the differential diagnosis of progressive vision loss in this age group. |
format | Online Article Text |
id | pubmed-4396912 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Hindawi Publishing Corporation |
record_format | MEDLINE/PubMed |
spelling | pubmed-43969122015-04-27 Acute Corneal Hydrops Mimicking Infectious Keratitis as Initial Presentation of Keratoconus in a 10-Year-Old Child Slim, Elise A. Jarade, Elias F. Charanek, Bilal M. Antoun, Joelle S. Hemade, Adib I. Awada, Sahar H. Fakhoury, Henry W. Cherfan, Carole G. Case Rep Ophthalmol Med Case Report Purpose. To report a case of acute hydrops in a 10-year-old child with advanced keratoconus. Case Presentation. A ten-year-old boy diagnosed as having right eye (RE) infectious keratitis, not responding to antimicrobial therapy, was referred to our hospital. The diagnosis of infectious keratitis was established one month prior to his presentation following an episode of acute corneal whitening, pain, and drop in visual acuity. Topical fortified antibiotics followed by topical antiviral therapy were used with no improvement. Slit lamp examination showed significant corneal protrusion with edema surrounding a rupture in Descemet's membrane in the RE. The diagnosis of acute corneal hydrops from advanced keratoconus was highly suspected and confirmed with corneal topography. Conclusion. Although a relatively rare disease at the age of 10 years, keratoconus can be rapidly progressive in the pediatric group. Keratoconus should always be considered in the differential diagnosis of progressive vision loss in this age group. Hindawi Publishing Corporation 2015 2015-03-31 /pmc/articles/PMC4396912/ /pubmed/25918660 http://dx.doi.org/10.1155/2015/308348 Text en Copyright © 2015 Elise A. Slim et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Slim, Elise A. Jarade, Elias F. Charanek, Bilal M. Antoun, Joelle S. Hemade, Adib I. Awada, Sahar H. Fakhoury, Henry W. Cherfan, Carole G. Acute Corneal Hydrops Mimicking Infectious Keratitis as Initial Presentation of Keratoconus in a 10-Year-Old Child |
title | Acute Corneal Hydrops Mimicking Infectious Keratitis as Initial Presentation of Keratoconus in a 10-Year-Old Child |
title_full | Acute Corneal Hydrops Mimicking Infectious Keratitis as Initial Presentation of Keratoconus in a 10-Year-Old Child |
title_fullStr | Acute Corneal Hydrops Mimicking Infectious Keratitis as Initial Presentation of Keratoconus in a 10-Year-Old Child |
title_full_unstemmed | Acute Corneal Hydrops Mimicking Infectious Keratitis as Initial Presentation of Keratoconus in a 10-Year-Old Child |
title_short | Acute Corneal Hydrops Mimicking Infectious Keratitis as Initial Presentation of Keratoconus in a 10-Year-Old Child |
title_sort | acute corneal hydrops mimicking infectious keratitis as initial presentation of keratoconus in a 10-year-old child |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4396912/ https://www.ncbi.nlm.nih.gov/pubmed/25918660 http://dx.doi.org/10.1155/2015/308348 |
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