{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,5]],"date-time":"2025-04-05T04:20:24Z","timestamp":1743826824252,"version":"3.40.3"},"reference-count":13,"publisher":"BMJ","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMJ Case Reports"],"abstract":"<jats:p>A 26-year-old Caucasian female with keratoconus presented with an acutely painful and red left eye. Visual acuity on presentation was 3\/60. Slit lamp examination revealed localised Descemet\u2019s membrane break with iris partially plugging it. There was a bulging stromal cyst which would intermittently flatten and reform. The appearance when the cyst was flattened mimicked a full thickness corneal perforation. However, no obvious overlying epithelial defect was detected and an intermittent leakage through micro-perforations in the corneal epithelium was the probable cause of the variable appearance. The anterior chamber reformed and iris plug freed following an insertion of a bandage contact lens and taped eyelid. On follow-up, the Descement\u2019s membrane had healed with visual acuity improving to 6\/18. Our case illustrates the importance of identifying corneal hydrops mimicking a full thickness perforation as conservative management has a greater chance of recovery.<\/jats:p>","DOI":"10.1136\/bcr.01.2012.5496","type":"journal-article","created":{"date-parts":[[2012,5,15]],"date-time":"2012-05-15T09:10:12Z","timestamp":1337073012000},"page":"bcr0120125496","source":"Crossref","is-referenced-by-count":0,"title":["Acute corneal hydrops mimicking full thickness perforation"],"prefix":"10.1136","author":[{"given":"Ch\u2019ng","family":"SW","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pillai","family":"MB","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aazeem","family":"S","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tu","family":"KL","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2012,5,15]]},"reference":[{"key":"2025040405340000000_2012.may11_1.bcr0120125496.1","doi-asserted-by":"publisher","DOI":"10.1097\/00003226-200303000-00019"},{"key":"2025040405340000000_2012.may11_1.bcr0120125496.2","doi-asserted-by":"publisher","DOI":"10.1016\/S0161-6420(94)31110-9"},{"key":"2025040405340000000_2012.may11_1.bcr0120125496.3","unstructured":"Grayson M . 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