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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

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.

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