Within the first 24Â h of medical management, the right eye developed marked corneal edema and globular anterior protrusion of the corneal surface consistent with feline acute corneal hydrops (FACH).
Surgical management consisted of a bridge conjunctival graft, nictitating membrane flap, and temporary tarsorrhaphy.
Resolution of corneal edema and pain occurred in the right eye within 24Â days.
Spectral domain optical coherence tomography (SD-OCT) of the anterior segment was performed in both eyes.
Conjunctival tissue from the bridge graft precluded examination of deeper corneal structures in the right eye.
The left eye displayed a focal separation of the corneal endothelium and Descemet`s membrane from the overlying stroma.
These SD-OCT findings are similar to the analogous syndrome found in humans and represent a potential etiology for FACH of the right eye in the case presented here.
Unfortunately, the cat was lost to follow-up and the progression of this lesion to FACH in the left eye could not be determined.
Source: Schlesener, B. N., Scott, E. M. and Vallone, L. V. (2017), An unusual case of feline acute corneal hydrops: atypical disease presentation and possible in vivo detection of Descemet`s membrane detachment in the cat`s unaffected eye. Veterinary Ophthalmology. doi: 10.1111/vop.12527
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