Document Detail


Intracameral SF6 injection and anterior segment OCT-based documentation for acute hydrops management in pellucid marginal corneal degeneration.
MedLine Citation:
PMID:  18291707     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To report a case of acute hydrops in pellucid marginal corneal degeneration (PMCD) documented with anterior segment optical segment tomography and successfully treated with sulphur hexafluoride (SF6) intracameral injection. METHODS: A 47-year-old female patient presented with spontaneous onset of pain, redness and decreased vision in her left eye. Clinical evaluation revealed bilateral PMCD with evidence of acute hydrops in the left eye. Anterior segment Slit lamp Adapted Optical Coherence Tomography (SL-OCT) examination revealed intrastromal clefts with Descemet's membrane detachment in the left eye. She was managed with descemetopexy with 0.2ml injection of iso-expansile SF6 (18%) intracameral. RESULTS: The patient showed excellent early resolution of the stromal edema with reattachment of the Descemet's membrane. CONCLUSION: Prompt intervention in acute hydrops in PMCD cases helps in achieving early good visual results and prevents potentially serious complications such as perforation. Newer imaging modalities like SL-OCT helps in better visualisation and also in monitoring the response to treatment.
Authors:
M Vanathi; Geeta Behera; Sujith Vengayil; Anita Panda; S Khokhar
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2008-03-04
Journal Detail:
Title:  Contact lens & anterior eye : the journal of the British Contact Lens Association     Volume:  31     ISSN:  1367-0484     ISO Abbreviation:  Cont Lens Anterior Eye     Publication Date:  2008 Jun 
Date Detail:
Created Date:  2008-06-09     Completed Date:  2008-10-06     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9712714     Medline TA:  Cont Lens Anterior Eye     Country:  England    
Other Details:
Languages:  eng     Pagination:  164-6     Citation Subset:  IM    
Affiliation:
Cornea Services, Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India. vanathi_g@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Acute Disease
Anterior Chamber / drug effects
Anterior Eye Segment / pathology*
Corneal Dystrophies, Hereditary / complications*
Corneal Edema / complications,  diagnosis*,  drug therapy*
Female
Humans
Injections
Middle Aged
Sulfur Hexafluoride / administration & dosage*
Supine Position
Tomography, Optical Coherence
Chemical
Reg. No./Substance:
2551-62-4/Sulfur Hexafluoride

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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