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Case Report Volume 16 Issue 1
Attaining excellent visual acuity following acute corneal hydrops through medical management and scleral lens implementation
Cooper N Bahr, Kenneth A Beckman
Received: January 16, 2026 | Published: February 2, 2026
Citation: Bahr CN, Beckman KA. Attaining excellent visual acuity following acute corneal hydrops through medical management and scleral lens implementation. Adv Ophthalmol Vis Syst. 2026;16(1):9-11. DOI: 10.15406/aovs.2026.16.00500
Abstract
We report a patient with successful visual rehabilitation of corneal hydrops in keratoconus using medical management and scleral lens implementation as an alternative to corneal transplantation or surgical intervention. This is a case report of a 27-year-old man with keratoconus who developed acute corneal hydrops in his left eye. Following medical management of his eye, the patient developed a central corneal scar, which was eventually corrected to 20/20 best corrected visual acuity (BCVA) through scleral lens use. The dramatic flattening on tomography in this patient demonstrates the natural course of corneal hydrops. Even with a central corneal scar, whether a patient has had hydrops or not, a scleral lens may dramatically improve vision and possibly avoid a corneal transplant.
Keywords: corneal hydrops, KMax, keratoconus, scleral lens, corneal transplant
©2026 Bahr, et al. This is an open access article distributed under the terms of the, which permits unrestricted use, distribution, and build upon your work non-commercially.