We read with interest the case series on management of acute corneal hydrops with intracameral perfluoropro-pane tamponade and compression sutures.1 The conventional medical management for acute hydrops is giving way to newer interventional treatment modalities in both keratoconus and pellucid marginal corneal degeneration as evidenced by several recent reports.2"7 The use of intracameral air, isoexpansile perfluoropropane (C_3F_8), or sulfur hexa-fluoride (SF_6) injections with or without tissue adhesive in the management of acute corneal hydrops in keratoconus had been described with encouraging results.4"7 We congratulate the authors on their excellent narration on use of intracameral C_3F_8 tamponade along with compression sutures in acute corneal hydrops and agree that it is a safe and useful therapy to shorten the duration of corneal edema in cases of corneal ectasias.
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