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Corneal Donor Tissue Preparation for Descemet's Membrane Endothelial Keratoplasty
Published on: September 17, 2014
Suprachoroidal Hemorrhage During Descemet Membrane Endothelial Keratoplasty
Philip W Dockery1, Katelyn Joubert1, John S Parker1
1Parker Cornea, Birmingham, AL; and.
Purpose:
To describe two cases of suprachoroidal hemorrhage during Descemet membrane endothelial keratoplasty (DMEK).
Methods:
Two patients with pseudophakic bullous keratopathy (PBK) underwent DMEK and proceeded to develop intraoperative suprachoroidal hemorrhage. Reports of both cases are documented, including potential risk factors, intraoperative events, and postoperative outcomes and interventions.
Results:
Both cases required premature abortion of the operation following the abrupt onset of significant posterior pressure indicating potential suprachoroidal hemorrhage. Postoperative visual acuity measured light perception or worse, and both patients declined further intervention.
Conclusions:
Suprachoroidal hemorrhage is a rare but potentially devastating intraoperative complication which may occur during DMEK, particularly in eyes with relevant risk factors. An inability to deepen the anterior chamber following graft implantation may signify the condition.

