PMC3934781_01
Slit-lamp photography shows the central vertical corneal wound with retrocorneal fibrous downgrowth covering the temporal half of the cornea, as evident 6 weeks after wound revision and vitreoretinal surgery.
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F1
A large retrocorneal membrane was evident 6 weeks postoperatively over the temporal cornea (fig. 1).
Left: streak of retrocorneal interface hemorrhage. Right: hyphema with anterior vitreous hemorrhage in front of the silicone oil bubble resulting in hand motion vision.
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F2
She had 5 recurrent episodes of visual loss to the level of hand motion from intraocular bleeding (interface hemorrhage, hyphema and anterior vitreous hemorrhage) (fig. 2).
Left: two feeder vessels (arrows) are noted at the temporal limbus. Subconjunctival injections are made around these two feeder vessels. Right: slit-lamp appearance after intrastromal (two arrows) injections of bevacizumab.
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F3
The rationale was the vascular nature of the fibrovascular membrane with feeder vessels consisting of several branches of limbal and corneal stromal neovascularization (fig. 3). The intrastromal (corneal) and subconjunctival injections were aimed at the site of the feeder vessels (fig. 3).