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January 1977

Thermokeratoplasty in the Treatment of Persistent Corneal Hydrops

Author Affiliations

From the Department of Ophthalmology, Park Ridge Hospital, Rochester, NY (Dr Aquavella), New York Eye and Ear Infirmary, (Dr Buxton) and the Rochester (NY) Eye and Human Parts Bank, Inc (Dr Shaw). Dr Shaw is now with the Division of Ophthalmology, University of Rochester School of Medicine and Dentistry, and Strong Memorial Hospital, Rochester, NY.

Arch Ophthalmol. 1977;95(1):81-84. doi:10.1001/archopht.1977.04450010081007

• Thermokeratoplasty (TKP) was used to treat six cases of chronic corneal hydrops previously refractory to traditional therapy. In all instances TKP resulted in a clearing of the hydrops within three weeks. In four cases the resultant comfort and clarity precluded the necessity for transplantation, while in the remaining two cases subsequent Penetrating keratoplasty was successfully performed.

Thermokeratoplasty is advocated in chronic hydrops refractive to standard therapy, in acute hydrops to accelerate recovery, in recurrent hydrops to assist in healing of breaks in Descemet membrane, thus preventing recurrences, in cases with extensive hydrops to deturgesce the peripheral cornea prior to transplantation, and as definitive therapy in cases where transplantation is contraindicated.

(Arch Ophthalmol 95:81-84, 1977)