Microbial Keratitis Complicated by Endophthalmitis Hiding Acute Hydrops

Case Report

Austin J Clin Ophthalmol. 2022; 9(1): 1124.

Microbial Keratitis Complicated by Endophthalmitis Hiding Acute Hydrops

Afaf E¹*, Habiba T¹, Fatimazahra H¹, Elhassan A² and Amina B²

¹Ophthalmologist, Morocco

²Professor of Ophthalmology, Morocco

*Corresponding author: Erradi Afaf, Ophthalmologist, Morocco

Received: February 08, 2022; Accepted: March 04, 2022; Published: March 11, 2022


Purpose: To report a case of acute hydrops in a 12-year-old child with advanced keratoconus.

Case Presentation: A twelve-year-old boy diagnosed as having right eye (RE) infectious keratitis, not responding to antimicrobial therapy, was referred to our hospital. The diagnosis of infectious keratitis was established one month prior to his presentation following an episode of acute corneal whitening, pain, and drop in visual acuity. Topical fortified antibiotics followed by topical antiviral therapy were used with no improvement. Slit lamp examination showed significant corneal protrusion with edema surrounding a rupture in Descemet’s membrane in the RE. The diagnosis of acute corneal hydrops from advanced keratoconus was highly suspected and confirmed with corneal topography ans OCT.

Keywords: Hydrops; Corneal topography; Descemet’s membrane


Keratoconus (KC) is a non inflammatory ectasia of the cornea. Classically, the onset of KC is during puberty and the condition is progressive until the third or fourth decade of life In fact, KC demonstrates an increased incidence and faster progression at both puberty and pregnancy due to hormonal influences.

Case Presentation

This is the 12-year-old M.O child from and living in ouarzazat.



• Poorly monitored eye allergy

• Discovery of a bilateral keratoconus since school age (keratoconus stage 4)

Family: (according to the words of the mother)

• Bilateral Keratoconus in a sister with ODG corneal transplant

• Unilateral keratoconus in a brother

History of disease

Goes back a week by installation a painful red eye with tearing and photophobia motivating a consultation readressed to our structure for a suspicion of endophthalmitis complicating infectious keratitis (Figure 1-4 and Table 1).