Purpose. To report a case of acute hydrops in a 10-year-old child with advanced keratoconus. Case Presentation. A ten-year-old boy\ndiagnosed as having right eye (RE) infectious keratitis, not responding to antimicrobial therapy, was referred to our hospital.The\ndiagnosis of infectious keratitis was established onemonth prior to his presentation following an episode of acute cornealwhitening,\npain, and drop in visual acuity. Topical fortified antibiotics followed by topical antiviral therapy were used with no improvement.\nSlit lamp examination showed significant corneal protrusion with edema surrounding a rupture inDescemet�s membrane in the RE.\nThe diagnosis of acute corneal hydrops from advanced keratoconus was highly suspected and confirmed with corneal topography.\nConclusion. Although a relatively rare disease at the age of 10 years, keratoconus can be rapidly progressive in the pediatric group.\nKeratoconus should always be considered in the differential diagnosis of progressive vision loss in this age group.
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