To describe two cases of suprachoroidal hemorrhage
during Descemet membrane endothelial keratoplasty (DMEK
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.
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.