| Titre : | IMPORTANCE OF EARLY DETECTION OF KERATOCONUS: ABOUT 8 CASES OF CORNEAL HYDROPS | | Type de document : | thèse | | Auteurs : | BOUHAJBANE YOUSSEF, Auteur | | Année de publication : | 2024 | | Langues : | Anglais (eng) | | Mots-clés : | Corneal hydrops Keratoconus Corneal transplantation Subclinical keratoconus Cross-linking Hydrops cornéen Kératocône transplantation cornéenne Kératocône infraclinique Cross-linking. القرنية المخروطية؛ استسقاء القرنية الحاد؛ أشكال القرنية المخروطية؛ رأب القرنية بالحرارة؛عدسة قرنية
صلبة؛ زراعة القرنية. | | Résumé : | INTRODUCTION: Keratoconus is a corneal disorder defined by progressive ectasia and thinning. Advances in the diagnosis and treatment of keratoconus have an important impact in preventing its complications, including acute corneal hydrops as a major challenge, in which management is a crucial and difficult part.
RESULTS: Our study sample included 8 cases of corneal hydrops. 6 of our patients were seen at the acute stage of corneal hydrops. The mode of presentation in all our patients was corneal hydrops. The disorder was unilateral in 6 patients, in which 5 had signs of advanced keratoconus in the other eye. 2 patients presented at the residual phase (neovascularization/fibrosis) had bilateral involvement, suggesting a different timing of disorder. 5 patients had Down syndrome, and 3 patients had signs of VKC (vernal keratoconjunctivitis). All patients were treated medically at the acute phase. 4 patients underwent surgical treatment consisting of pre-Descemet's sutures and pneumo-descemetopexy. The evolution was marked by partial regression of hydrops by the second day and complete regression at 20 days under combined medical treatment. All our patients were proposed for penetrating keratoplasty. One patient underwent treatment for corneal neovascularization before keratoplasty.
CONCLUSION: Early diagnosis and management of keratoconus are crucial to prevent its progression and reduce the incidence of its complications, particularly corneal hydrops, in which an adequate and multifactorial treatment strategy provides visual comfort and avert further complications. | | Numéro (Thèse ou Mémoire) : | M2212024 | | Président : | Lalla Ouafa CHERKAOUI TRIQUI | | Directeur : | Lalla Ouafa CHERKAOUI TRIQUI ; Rim EL HACHIMI | | Juge : | El Hassan ABDALLAH | | Juge : | Samira TACHFOUTI | | Juge : | Noureddine BOUTIMZINE ; Louaï SERGHINI |
IMPORTANCE OF EARLY DETECTION OF KERATOCONUS: ABOUT 8 CASES OF CORNEAL HYDROPS [thèse] / BOUHAJBANE YOUSSEF, Auteur . - 2024. Langues : Anglais ( eng) | Mots-clés : | Corneal hydrops Keratoconus Corneal transplantation Subclinical keratoconus Cross-linking Hydrops cornéen Kératocône transplantation cornéenne Kératocône infraclinique Cross-linking. القرنية المخروطية؛ استسقاء القرنية الحاد؛ أشكال القرنية المخروطية؛ رأب القرنية بالحرارة؛عدسة قرنية
صلبة؛ زراعة القرنية. | | Résumé : | INTRODUCTION: Keratoconus is a corneal disorder defined by progressive ectasia and thinning. Advances in the diagnosis and treatment of keratoconus have an important impact in preventing its complications, including acute corneal hydrops as a major challenge, in which management is a crucial and difficult part.
RESULTS: Our study sample included 8 cases of corneal hydrops. 6 of our patients were seen at the acute stage of corneal hydrops. The mode of presentation in all our patients was corneal hydrops. The disorder was unilateral in 6 patients, in which 5 had signs of advanced keratoconus in the other eye. 2 patients presented at the residual phase (neovascularization/fibrosis) had bilateral involvement, suggesting a different timing of disorder. 5 patients had Down syndrome, and 3 patients had signs of VKC (vernal keratoconjunctivitis). All patients were treated medically at the acute phase. 4 patients underwent surgical treatment consisting of pre-Descemet's sutures and pneumo-descemetopexy. The evolution was marked by partial regression of hydrops by the second day and complete regression at 20 days under combined medical treatment. All our patients were proposed for penetrating keratoplasty. One patient underwent treatment for corneal neovascularization before keratoplasty.
CONCLUSION: Early diagnosis and management of keratoconus are crucial to prevent its progression and reduce the incidence of its complications, particularly corneal hydrops, in which an adequate and multifactorial treatment strategy provides visual comfort and avert further complications. | | Numéro (Thèse ou Mémoire) : | M2212024 | | Président : | Lalla Ouafa CHERKAOUI TRIQUI | | Directeur : | Lalla Ouafa CHERKAOUI TRIQUI ; Rim EL HACHIMI | | Juge : | El Hassan ABDALLAH | | Juge : | Samira TACHFOUTI | | Juge : | Noureddine BOUTIMZINE ; Louaï SERGHINI |
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