{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,20]],"date-time":"2026-04-20T03:04:34Z","timestamp":1776654274128,"version":"3.51.2"},"reference-count":14,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2017,4,14]]},"abstract":"<jats:p>A 17-year-old boy presented with sudden loss of vision in the left eye (OS) for 3 days. He was diagnosed with acute hydrops following keratoconic progression in OS. The patient was initially started on topical medical therapy, including steroids and hypertonic eye drops; showing no signs of resolution. Hence, the patient was planned for full-thickness compressive corneal sutures. Four sutures were placed along the central oedematous area covering the area of ruptured Descemet\u2019s membrane. Signs of resolution were noticed by 1st week and there was complete resolution of oedema by 3rd post-op week. Sutures were removed by 7th postoperative week\/45th day. The patient was doing fine with visual acuity of 6\/60 in the last visit with no symptoms of discomfort and no signs of corneal vascularisation. Full-thickness corneal compressive sutures is an effective alternative in cases of acute hydrops if perfluoropropane gas is not available.<\/jats:p>","DOI":"10.1136\/bcr-2016-218843","type":"journal-article","created":{"date-parts":[[2017,5,4]],"date-time":"2017-05-04T09:45:25Z","timestamp":1493891125000},"page":"bcr-2016-218843","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":13,"title":["To show the efficacy of compressive sutures alone in the management of acute hydrops in a keratoconus patient"],"prefix":"10.1136","volume":"2017","author":[{"given":"Praveen","family":"Subudhi","sequence":"first","affiliation":[{"name":"Department of Ophthalmology, Ruby Eye Hospital, Berhampur, India"},{"name":"Department of Ophthalmology, Hitech Medical College, Bhubaneswar, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zahiruddin","family":"Khan","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Hitech Medical College, Bhubaneswar, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B Nageswar Rao","family":"Subudhi","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, M.K.C.G Medical College, Berhampur, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Silla","family":"Sitaram","sequence":"additional","affiliation":[{"name":"SDH Chatrapur, Chatrapur, India"},{"name":"Ruby Eye Hospital, Berhampur, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2017,5,4]]},"reference":[{"key":"2025082801190850000_2017.may04_2.bcr-2016-218843.1","doi-asserted-by":"publisher","DOI":"10.1016\/S0039-6257(97)00119-7"},{"key":"2025082801190850000_2017.may04_2.bcr-2016-218843.2","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1155\/2016\/1243819","article-title":"Inflammatory biomarkers Profile as Microenvironmental expression in Keratoconus","volume":"2016","author":"Ionescu","year":"2016","journal-title":"Dis Markers"},{"key":"2025082801190850000_2017.may04_2.bcr-2016-218843.3","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1016\/bs.pmbts.2015.04.001","article-title":"Overview of the cornea: structure, function, and development","volume":"134","author":"Eghrari","year":"2015","journal-title":"Prog Mol Biol Transl Sci"},{"key":"2025082801190850000_2017.may04_2.bcr-2016-218843.4","first-page":"2234","article-title":"High-voltage Electron microscopy of normal human cornea","volume":"32","author":"Binder","year":"1991","journal-title":"Invest Ophthalmol Vis Sci"},{"key":"2025082801190850000_2017.may04_2.bcr-2016-218843.5","doi-asserted-by":"publisher","DOI":"10.1136\/bjophthalmol-2015-308251"},{"key":"2025082801190850000_2017.may04_2.bcr-2016-218843.6","doi-asserted-by":"publisher","DOI":"10.1016\/S0161-6420(94)31110-9"},{"key":"2025082801190850000_2017.may04_2.bcr-2016-218843.7","doi-asserted-by":"publisher","DOI":"10.1136\/bjophthalmol-2014-306287"},{"key":"2025082801190850000_2017.may04_2.bcr-2016-218843.8","doi-asserted-by":"crossref","first-page":"282","DOI":"10.1016\/j.ajo.2016.07.001","article-title":"Penetrating keratoplasty for keratoconus with and without resolved corneal hydrops: long-term results","volume":"169","author":"Meyer","year":"2016","journal-title":"Am J Ophthalmol"},{"key":"2025082801190850000_2017.may04_2.bcr-2016-218843.9","doi-asserted-by":"crossref","first-page":"469","DOI":"10.1038\/eye.2014.333","article-title":"Acute corneal hydrops in keratoconus: a national prospective study of incidence and management","volume":"29","author":"Barsam","year":"2015","journal-title":"Eye"},{"key":"2025082801190850000_2017.may04_2.bcr-2016-218843.10","first-page":"187","article-title":"Acute hydrops in the corneal ectasias: associated factors and outcomes","volume":"97","author":"Grewal","year":"1999","journal-title":"Trans Am Ophthalmol Soc"},{"key":"2025082801190850000_2017.may04_2.bcr-2016-218843.11","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9394(98)00068-3"},{"key":"2025082801190850000_2017.may04_2.bcr-2016-218843.12","doi-asserted-by":"publisher","DOI":"10.1016\/j.ophtha.2010.09.030"},{"key":"2025082801190850000_2017.may04_2.bcr-2016-218843.13","doi-asserted-by":"publisher","DOI":"10.1097\/ICO.0b013e3181ca6353"},{"key":"2025082801190850000_2017.may04_2.bcr-2016-218843.14","doi-asserted-by":"publisher","DOI":"10.1097\/ICO.0b013e31818ada0b"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2016-218843","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T08:19:20Z","timestamp":1756369160000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2016-218843"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,5,4]]},"references-count":14,"alternative-id":["10.1136\/bcr-2016-218843"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2016-218843","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,5,4]]}}}