A Simple and Easy Method Using Rigid Endoscope to Detect Iridocorneal and Keratolenticular Adhesions in Peters’ Anomaly
A 4-month-old male was referred to our department because of a bilateral corneal opacity. The patient was born maturely following an unremarkable pregnancy. Our examination demonstrated the presence of a bilateral central corneal opacity and extremely shallow anterior chambers, which made it impossible to observe the fundus in both eyes (fig. ). The intraocular pressure measured was 8 mm Hg in the OD and 9 mm Hg in the OS. Ultrasonographic investigations showed the presence of short axial lengths (OD: 16.0 mm; OS: 16.2 mm) and funnel-shaped retinal detachment. No systemic anomalies were detected during this pediatric examination. When TEI was performed via the clear peripheral cornea, both a keratolenticular adhesion and a surrounding iridocorneal adhesion were observed behind the area of corneal opacity (fig. ). The patient was diagnosed as having Peters’ anomaly and persistent fetal vasculature.