We report on an aphakic 30 year-old patient who underwent penetrating
keratoplasty on his only functioning eye. On the first day after the o
peration he developed a total choroidal detachment due to suprachoroid
al bleeding. The patient had no sense of orientation. Vision decreased
to faulty light perception. One week postoperatively a posterior scle
rotomy was performed in order to drain the suprachoroidal blood. Via a
paracentesis the globe was pressurized with hyaluronic acid. The foll
owing 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.