Three children were born with partial corneal opacity and anterior seg
ment anomalies but no cataract (Peter's anomaly type 1). In each affec
ted eye, the corneal scar was off center and encroached on the visual
axis. Glaucoma (if present) was controlled medically or surgically, af
ter which an Optical iridectomy was performed in each eye (in lieu of
a penetrating keratoplasty). After surgery, in all patients the pupil
extended beyond the corneal opacity and the corneal opacity decreased
slightly. All could fixate and follow around the opacity. Optical irid
ectomy should be considered in selected cases of congenital corneal op
acities.