Initial positive first-hand experience of acute keratoconus treatment using platelet-rich serums

Presentation of a clinical case of acute keratoconus treatment by the intracameral platelet-rich plasma administration. Clinical and morphological improvement was registered from the first postoperative day, corneal edema and bullous changes completely resolved during 3 weeks. No side effects were observed. The outcome is confirmed by anterior segment optical coherence tomography data Intracameral platelet-rich autologous plasma administration is a safe and effective method of acute keratoconus treatment.

Acute Keratoconus-Like Hydrops after Laser In Situ Keratomileusis

Purpose.To demonstrate keratoconus-like hydrops after laser in situ keratomileusis (LASIK) by optical coherence tomography (OCT).Patient and Methods.A 21-year-old man received uneventful bilateral LASIK. On slit lamp examination or corneal topography there were no signs of fruste keratoconus. The preoperative corneal thickness was 587-m OD and the calculated ablation for two treatments was 114-m. Uneventful LASIK with an optical zone of 7 mm and an ablation of 89-m OD, and an ablation of 73-m OS was performed. Three years postoperatively, he complained about progressive myopia and impaired vision OD. His VA was hand motion OD and 20/20 OS.Results.OCT and light microscopy revealed an anterior corneal steepening and acute keratoconus-like excessive edematous swelling.Conclusion.The cornea is mechanically weakened after LASIK by the lamellar cut and tissue subtraction. Although the advocated minimal residual stromal bed thickness is 250-m, it may not be adequate to prevent progressive keratoconus-like hydrops in the selected cases.