Fibrous ingrowth with retrocorneal membrane

A case of retrocorneal fibrous membrane is reported in a patient who underwent cataract extraction and experienced a postoperative hyphema. A distinctive straw-colored appearance to the membrane was due to blood staining. A penetrating keratoplasty with extensive anterior segment surgery restored the eye to useful vision. The penetrating keratoplasty specimen disclosed an unusual double-layered retrocorneal fibrous membrane, produced in part by a vascularized fibrous ingrowth and also by fibroblastic transformation of the corneal endothelial cells.