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Journal List > J Korean Ophthalmol Soc > v.58(9) > 1010641

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Yi, Ohn, Roh, Kim, and Na: A Case of Resolved Massive Suprachoroidal Hemorrhage after Sclerotomy in Penetrating Keratoplasty Patient
Case Report

Journal of the Korean Ophthalmological Society 2017; 58(9): 1106-1109.

Published online: 18 September 2017

DOI: https://doi.org/10.3341/jkos.2017.58.9.1106

A Case of Resolved Massive Suprachoroidal Hemorrhage after Sclerotomy in Penetrating Keratoplasty Patient

Rowoon Yi, MD, Kyung Ohn, MD, Young Jung Roh, MD, PhD, Hyun Seung Kim, MD, PhD, Kyung Sun Na, MD, PhD

Department of Ophthalmology, Yeouido St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.

Address reprint requests to Kyung Sun Na, MD, PhD. Department of Ophthalmology, The Catholic University of Korea Yeouido St. Mary's Hospital, #10 63-ro, Yeongdeungpo-gu, Seoul 07345, Korea. Tel: 82-2-3779-1243, Fax: 82-2-761-6869, drna@catholic.ac.kr

Received 11 May 2017       Revised 31 July 2017       Accepted 1 September 2017

©2017 The Korean Ophthalmological Society

The Korean Ophthalmological Society

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

To report the resolution of a massive suprachoroidal hemorrhage after penetrating keratoplasty by sclerotomy.

Case summary

A 64-year-old man with a corneal opacity in the left eye underwent penetrating keratoplasty. On the first postoperative day, a massive suprachoroidal hemorrhage was detected. After two surgical drainage procedures, the suprachoroidal hemorrhage subsided and the graft survived. His visual acuity was 20/240 two months post-operation.

Conclusions

We report a patient with massive suprachoroidal hemorrhage after penetrating keratoplasty that was improved by surgical drainage procedures.

Keywords: Complication, Keratoplasty, Penetrating keratoplasty, Suprachoroidal

Figures and Tables

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Figure 1

Slit lamp microscopic photography of initial visit. Diffuse corneal opacity involving center was observed.

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Figure 2

Ultrasonography images of left eye. (A) At postoperative 1 day, there was massive suprachoroidal hemorrhage and show kissing choroid appearance. (B) After the first suprachoroidal hemorrhage drainage by sclerotomy, suprachoroidal hemorrhage has slightly resolved. (C) After the second suprachoroidal hemorrhage drainage by sclerotomy, most of suprachoroidal hemorrhage has removed.

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Figure 3

Suprachoroidal hemorrhage drainage by sclerotomy. Large amount of dark red colored hemorrhage was drainaged through sclerotomy site.

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Figure 4

Two months after penestrating keratoplasty. (A) Anterior segment photograph shows well grafted clear cornea. (B) Fundus photography shows no sign of suprachoroidal hemorrhage.

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Notes

Conflicts of Interest The authors have no conflicts to disclose.

References

1. Chu TG, Green RL. Suprachoroidal hemorrhage. Surv Ophthalmol. 1999; 43:471–486.
2. Lee SJ, Lee JH, Park SW, et al. Spontaneous resolution of massive expulsive suprachoroidal hemorrhage with good long-term visual outcome: a case report. Int Med Case Rep J. 2015; 8:185–187.
3. Bandivadekar P, Gupta S, Sharma N. Intraoperative suprachoroidal hemorrhage after penetrating keratoplasty: case series and review of literature. Eye Contact Lens. 2016; 42:206–210.
4. Reynolds MG, Haimovici R, Flynn HW Jr, et al. Suprachoroidal hemorrhage. Clinical features and results of secondary surgical management. Ophthalmology. 1993; 100:460–465.
5. Koenig SB. Delayed massive suprachoroidal hemorrhage after descemet stripping automated endothelial keratoplasty. Cornea. 2011; 30:818–819.
6. Speaker MG, Guerriero PN, Met JA, et al. A case-control study of risk factors for intraoperative suprachoroidal expulsive hemorrhage. Ophthalmology. 1991; 98:202–209. discussion 210.
7. Gressel MG, Parrish RK 2nd, Heuer DK. Delayed nonexpulsive suprachoroidal hemorrhage. Arch Ophthalmol. 1984; 102:1757–1760.
8. Laube T, Brockmann C, Bornfeld N. Massive suprachoroidal hemorrhage: surgical management and outcome. GMS Ophthalmol Cases. 2015; 5:Doc10. DOI: 10.3205/oc000032. eCollection 2015.
9. Ruderman JM, Harbin TS Jr, Campbell DG. Postoperative suprachoroidal hemorrhage following filtration procedures. Arch Ophthalmol. 1986; 104:201–205.
10. Scott IU, Flynn HW Jr, Schiffman J, et al. Visual acuity outcomes among patients with appositional suprachoroidal hemorrhage. Ophthalmology. 1997; 104:2039–2046.
11. Groh MJ, Seitz B, Händel A, Naumann GO. Expulsive hemorrhage in perforating keratoplasty--incidence and risk factors. Klin Monbl Augenheilkd. 1999; 215:152–157.
12. Ingraham HJ, Donnenfeld ED, Perry HD. Massive suprachoroidal hemorrhage in penetrating keratoplasty. Am J Ophthalmol. 1989; 108:670–675.
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