PMC7114644_01
Slitlamp examination of the right eye on initial consult
OC-10-15-g-001.jpg
PMC7114644_01_OC-10-15-g-001.jpg
F1
At this time, the right eye had a visual acuity of light perception, with noted periorbital swelling, erythema of the conjunctivae, and a total hyphema with corneal staining, as seen in Figure 1 (Fig. 1).
Postoperative day 3 slitlamp examination of the right eye
OC-10-15-g-002.jpg
PMC7114644_01_OC-10-15-g-002.jpg
F2
Figure 2 (Fig. 2) shows the corneal graft was still clear, but there was now increased intraocular pressure.
Third-week postoperative slitlamp examination of the right eye
OC-10-15-g-003.jpg
PMC7114644_01_OC-10-15-g-003.jpg
F3
In the interim, the patient was lost to follow-up, but returned 20 days after, when it was noted that there was recurrence of total hyphema, with staining of the corneal graft, shown in Figure 3 (Fig. 3).
Third-week postoperative gross examination of the right eye
OC-10-15-g-004.jpg
PMC7114644_01_OC-10-15-g-004.jpg
F4
As seen in Figure 4 (Fig. 4), there was extensive thinning of the sclera, bloody chemosis, and proptosis.
Third-week postoperative orbital computerized tomography scan
OC-10-15-g-005.jpg
PMC7114644_01_OC-10-15-g-005.jpg
F5
Computerized tomography scan of the orbit (Figure 5 (Fig. 5)) was done and showed the proptosed right globe, with peribulbar radiopaque densities, possibly new/fresh hemorrhage.
Family genogram showing X-linked inheritance pattern of bleeding disorder
OC-10-15-g-006.jpg
PMC7114644_01_OC-10-15-g-006.jpg
F6
A genogram was constructed, presented in Figure 6 (Fig. 6), which showed an X-linked inheritance pattern of bleeding in the patient's family, wherein: