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Case Reports in Ophthalmological Medicine
Volume 2015, Article ID 308348, 4 pages
http://dx.doi.org/10.1155/2015/308348
Case Report

Acute Corneal Hydrops Mimicking Infectious Keratitis as Initial Presentation of Keratoconus in a 10-Year-Old Child

1Beirut Eye Specialist Hospital, Al-Mathaf Square, P.O. Box 116-5311, Beirut, Lebanon
2Saint Joseph University Hospital, Faculty of Medicine, P.O. Box 166830, Beirut, Lebanon
3Mediclinic, Dubai Mall, Dubai, UAE
4Lebanese University, Rafic Hariri University Campus, P.O. Box 6573/14, Hadath, Beirut, Lebanon

Received 13 February 2015; Accepted 21 March 2015

Academic Editor: Winfried Amoaku

Copyright © 2015 Elise A. Slim et al. 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.

Abstract

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.