We report a surgical technique to manage deep corneal hematoma following penetrating Keratoplasty.A 30 year old male patient with subtotal vascularized corneal opacity in right eye with adherent leucoma underwent penetrating Keratoplasty.Donor corneal graft of 7.
5mm was sutured with 16 10-0 ORG DARK CHOC 70% monofilament nylon suture.Post operative period was uneventful and the best corrected visual acuity (BCVA) was 6/24 at 6 weeks follow up.Patient presented 22 weeks after penetrating Keratoplasty with sudden diminution of vision with deep corneal hematoma and blood vessels at 5.
30, 6.30, 9.30 and 11.
30 positions.Cauterization of vessels was done with drainage of hematoma from 7 o clock position through host graft junction and wash with BSS solution was done.Patients graft became clear with resolution of hematoma and regression of vessels.
Patients BCVA 10 weeks post drainage was 6/12.Deep corneal hematoma is a rare complication after penetrating Keratoplasty and not been Reach-In Refrigerators reported in literature.The refractory cases can be managed by cauterization & drainage of deep corneal hematoma.