In this video, the authors describe a new technique of corneal stab incision with intracameral air injection for management of acute corneal hydrops. Five eyes underwent this technique. They performed anterior segment optical coherence tomography–guided intrastromal fluid drainage through multiple corneal stromal venting incisions with anterior chamber air tamponade. Visual acuity improved from hand motions close to face preoperatively to best-corrected visual acuity (BCVA) of greater than 20/200 in all eyes and BCVA of at least 20/80 in 2 eyes at 3 months. No intraoperative complications were seen. Descemet membrane attached on first postoperative day in 4 eyes. Corneal oedema resolved over 2 to 3 weeks. The technique of intrastromal drainage of fluid combined with air tamponade can be effectively used as a treatment modality for the management of severe cases of acute corneal hydrops.