Peters anomaly how to#

These children require several anesthetics for multiple eye examinations under anesthesia and corneal transplantation. Central corneal opacification can lead to delayed progression of visual development caused by defects in Descemet membrane and the posterior stroma. Peters anomaly is a rare, congenital eye malformation characterized by an opaque cornea and blurred vision.

We presume there there may be a direct association between Peters' Anomaly and chomic iridocyclitis in the same eye, making it an interesting clinical entity. These complications which persisted for four years could have caused ciliary body atrophy, with the resultant low intraocular tension.

This case may have had glaucoma initially, with recurrent attacks of iridocyclitis. Peters' anomaly has however been associated with glaucoma (5). The combination of these findings with Peters' Anomaly has not been reported in literature to our knowledge. Such features following various diseases known to excite iridocyclitis like leprosy, tuberculosis etc have been commonly reported (4). The uncommon features were the findings of chronic iridocyclitis low intraocular tension and visual loss. This has been termes as Peters' Anomaly with Corneolenticular contact or Cataract (3) These features are similar to the ones observed in this case. Peters' Anomaly occurs with various ophthalmological findings, mainly iridolenticular contact keratolenticular contact cataracts, glaucoma and variations in the global volume (1) a variant of Peters' Anomaly has been described involving the lens in a variety of forms (2). Systemic examination and various laboratory parameters were normal The left eye was normal with a corrected visual acuity of 6/6. A diagnosis of Peters anomaly in the right eye was made. There was no visual perception in that eye. The intraocular tension as measured by applanation tonometry was 10 mm Hg Gonioscopic examination of the angle revealed mesodermal tissue over 3/4 of the angle circumference. Endothelial examination revealed the presence of fine keratic precipitates The iris was atrophic and an exudative membrane with posterior synechiae occluded the pupillary area The lens was cataractous and shrunken and subluxated anteriorly. These were dense and leucomatous in nature, with fine variegated iris strands extending from the iris collarette to the opacities. No form of therapy was ever instituted.īiomicroscopic examination of the right eye revealed multiple stromal corneal opacities. These repeated attacks of ocular pain commenced four years ago. On inquiry, it was established that he had suffered from poor vision in his right eye since childhood. The condition usually results in visual loss in the affected eye.Ī 35 year old male patient presented with repeated attacks of pain, redness and watering in his right eye. Peters' Anomaly is a congenital condition characterised by iridocorneal contact glaucoma and corneal opacities, usually in the absence of systemic anomalies (1). Abnormal presentation of Peters' anomaly.

Peters anomaly how to#

How to cite this URL: Mehta MC, Murthy G C. How to cite this article: Mehta MC, Murthy G C. Keywords: Posterior Corneal Defects Adherent Iris Strands Cataract Chronic Iridocyclitis The combination of these findings has not been reported in literature to our knowledge, making this case a unique one. A case of Peters' Anomaly with iridocyelitis was examined The eye had all the features of Perters' Anomaly with signs of cbornic iridocyclitis.