• Ju-Wen Yang.
• Department of Ophthalmology, Chang Gung Memorial Hospital, Keelung, Taiwan.
• Medicine (Baltimore). 2022 Feb 11; 101 (6): e28825e28825.

IntroductionSpontaneous expulsive suprachoroidal hemorrhage (SESCH) is a rare condition. The correlation between SESCH and chronic glaucoma has been reported previously. However, few reports have indicated a correlation between infective keratitis and SESCHs.Patient ConcernsHere, we report the case of an 82-year-old woman with a corneal ulcer who presented with left eye pain for 6 days.DiagnosisWe found that she has Pseudomonas keratitis and history of chronic glaucoma.Interventions And OutcomesDuring admission, her left eye showed elevated intraocular pressure (IOP). Three days later, the eyeball began to bleed and became painful. She had high blood pressure on that day. Hours after complaints of eye pain, intraocular tissue exposure related to eyeball rupture, and SESCH. The patient underwent evisceration and insertion of a silicone ball for the socket reconstruction. Histopathological evaluation revealed acute inflammation of the cornea and the choroidal vessels.ConclusionIn elderly patients with infective keratitis and a history of glaucoma and hypertension, it is important to control intraocular pressure and blood pressure and pay attention to the risk of spontaneous expulsive suprachoroidal hemorrhage.Copyright © 2022 the Author(s). Published by Wolters Kluwer Health, Inc.

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