PMC6161734_01
A slit lamp image showed the total hyphema with a dark red color expanded into the cornea stroma of the right eye from anterior view (A) and oblique view (B).
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A slit lamp showed total hyphema with dark red color extending into the corneal stroma of the right eye (Figure 1).
After removal of the total hyphema, the corneal bloodstaining cleared centrifugally from the peripheral to the central corneal stroma and from the posterior to the anterior corneal stroma.. Notes: (A) postoperative first day; (B) postoperative second week; (C) postoperative 1 month; (D) postoperative 6 weeks; and (E) postoperative 6 months.
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Severe corneal stromal edema with striae and central corneal bloodstaining were noted on the first postoperative day (Figure 2A). Oral (prednisolone 5 mg/day) and topical steroids (0.3% betamethasone sodium phosphate qid) were further tapered following the gradual resolution of the corneal edema and residual opaque blood clot at the temporal half of the AC (Figure 2B). The corneal bloodstaining imprint remained 1 month after surgery, while the corneal edema was completely resolved (Figure 2C). Maintaining topical steroids (0.3% betamethasone sodium phosphate tid) with additional lubricants and the range and color of the corneal bloodstaining became smaller, thinner, and shallower 6 weeks later (Figure 2D). Although the corneal bloodstaining faded, the anterior subcapsular opacity of the lens in the patient's right eye became so severe (Figure 2E) that he underwent right eye cataract surgery 6 months after AC irrigation.
After cataract surgery, the corneal bloodstaining seemed to nearly disappear in the center 10 months after AC irrigation with sparse anterior stromal traces from anterior view (A) and oblique view (B).. Abbreviation: AC, anterior chamber.
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Ten months later, the BCVA of his right eye improved to 8/20 with centrally disappearing corneal bloodstaining (Figure 3).