OPTICAL IRIDECTOMY FOR CORNEAL OPACITIES IN PETERS ANOMALY

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.