Peter's anomaly is a congenital corneal disorder characterized by a ce
ntral leukoma and adhesions at the periphery of the corneal opacity. A
35-year-old man presented for clinical evaluation of suspected sclero
cornea. High-resolution ultrasound biomicroscopy revealed iridocorneal
adhesions throughout the anterior segment, a shallow anterior chamber
, and abnormal hyper-reflectivity along the posterior corneal surface.
Through ultrasound biomicroscopy, characteristics of Peter's anomaly
were recognized, and a diagnosis was established. This case illustrate
s how ultrasound biomicroscopy aids in the clinical differentiation be
tween Peter's anomaly and other causes of congenital corneal opacifica
tion.