Fig. 2. Adherent leukoma. A. Proliferated fibrous tissue attaches the iris to the cornea through a gap in Descemet's membrane of a 3-week-old wound. An overlying scar(s) is present through the full thickness of the cornea. After organization and shrinkage of the fibrous membrane, the scar will look much like the scar of adherent leukoma seen in B. Peripheral adherent leukoma (arrow) in a 12-year-old girl who had accidental perforation of the globe by a pair of scissors 5 weeks previously. The perforation of the cornea was repaired on the day of the injury. Sympathetic uveitis developed 2 days before the photograph was taken. C. The peripheral iris is adherent to the corneal stroma through a gap in Descemet's membrane. The overlying stroma is scarred. (Courtesy of SEI Photoarchives.) |