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.