Delayed suprachoroidal hemorrhage after penetrating keratoplasty.
We report on an aphakic 30 year-old patient who underwent penetrating keratoplasty on his only functioning eye. On the first day after the operation he developed a total choroidal detachment due to suprachoroidal bleeding. The patient had no sense of orientation. Vision decreased to faulty light perception. One week postoperatively a posterior sclerotomy was performed in order to drain the suprachoroidal blood. Via a paracentesis the globe was pressurized with hyaluronic acid. The following day the suprachoroidal blood had almost disappeared. The retina had become reattached. During a follow-up period of 2 years the visual acuity remained 20/30.
Duncker
G I
GI
Department of Ophthalmology, University of Kiel, Germany.
Rochels
R
R
D000328:Adult; D002832:Choroid Hemorrhage / Q000209:etiology* / Q000601:surgery; D004322:Drainage; D005500:Follow-Up Studies; D006801:Humans; D006820:Hyaluronic Acid / Q000627:therapeutic use; D015948:Keratoplasty, Penetrating / Q000009:adverse effects*; D008297:Male; D012590:Sclera / Q000601:surgery; D013997:Time Factors; D014786:Vision Disorders / Q000209:etiology; D014792:Visual Acuity
D006820:Hyaluronic Acid