Case Report

Acute Hydrops with Total Corneal Edema in a Very Young Child with Keratoconus: The Youngest Age Reported Case

Table 1

Summary of several studies reporting corneal hydrops in children with KCN.

StudyCountryAge (years)/sexAssociation

Rehany and Rumelt (1995) [13]Israel5/maleBilateral advanced keratoconus, previous treatment for vernal conjunctivitis, and epithelial and stromal edema on the temporal side of the right cornea
Rahman and Anwar (2006) [17]United Kingdom6/femaleSevere keratoconus
Rehany and Rumelt (1995) [13]Israel7/maleAdvanced keratoconus with central stromal edema in the left eye with negative history of eye and systemic disorders and no history of habitual rubbing of the eye
Panahi-Bazaz et al. (2014) [18]Iran7/femaleBilateral corneal hydrops associated with eye rubbing secondary vernal keratoconjunctivitis (VKC)
Ioannidis et al. (2005) [19]United Kingdom7/femaleHydrops secondary to a chronic persistent eye-rubbing with no systemic involvement
Downie (2014) [20]Australia8/femaleBilateral acute corneal hydrops associated with severe atopy and no previous eye examination
Slim et al. (2015) [21]Lebanon10/maleHydrops in an advanced KCN
Ozcan and Ersoz (2007) [22]Turkey11/maleDown syndrome and vigorous eye rubbing
Rehany and Rumelt (1995) [13]Israel11/maleAcute hydrops in the left eye in a bilateral advanced keratoconus, history of vernal conjunctivitis
Bilgin et al. (2013) [23]Turkey12/maleSimultaneous bilateral acute hydrops in Leber congenital amaurosis (LCA)
Khan et al. (2006) [24]Saudi Arabia16/maleHydrops in a KCN patient with cornea plana
Current Study (2021)Iran5/femaleAcute corneal hydrops associated with total limbus to limbus corneal edema, use of AS-OCT to enhance understanding of the structural corneal changes