 ([Figure 3](#fig3){ref-type="fig"}). Two months later, the patient underwent a transcorneal lensectomy (through the donor cornea), limited vitrectomy without lifting the hyaloid, synechiolysis, and removal of iris membrane in the right eye ([Figure 4](#fig4){ref-type="fig"}, supplementary video ([](#supplementary-material-1){ref-type="supplementary-material"})). This was indicated because the cataract was visually significant and presented difficulty when trying to examine the fundus. One day after surgery, the VA was counting fingers and improved to 20/200 2 weeks later. The VA in the left eye was 20/80 without correction. Patient\'s IOP is well controlled on medications. Unfortunately, 6 weeks after the procedure, the patient presented with a 3-clock hour dehiscence (from the area of the original cornea) of the corneal graft superonasally with no uveal prolapse. The patient underwent repair with a corneal patch graft ([Figure 5](#fig5){ref-type="fig"}).

2.2. Case 2 and 3: A Case of Two Siblings of Consanguineous Parents {#sec2.2}
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A 7-year-old boy presented with parents and his 2-year-old sister for evaluation of Brittle Cornea Syndrome, which was confirmed by genetic testing and presented for a second opinion. The 7-year-old boy underwent a PK following spontaneous rupture of the right cornea when the patient was 4 years old. One year later, he underwent a pericardial patch graft following a spontaneous rupture of the left eye which has since fallen and scarred. On examination, the patient had a corneal graft which was vascularized and had inferonasal secondary lipid keratopathy in the right eye ([Figure 6](#fig6){ref-type="fig"}). In the left eye, patient\'s superior cornea was clear, and there was an inferior vascularized leukoma adherent ([Figure 6](#fig6){ref-type="fig"}). The patient\'s 2-year-old sister had no previous surgeries. Both patients had bluish sclera bilaterally ([Figure 7](#fig7){ref-type="fig"}). [Table 1](#tab1){ref-type=