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Congenital corneal opacities
Pediatric Ophthalmology
Key Points
- •The STUMPED mnemonic covers the major causes of congenital corneal opacities: Sclerocornea, Tears in Descemet, Ulcer, Metabolic, Peters anomaly, Endothelial dystrophy, Dermoid
- •Congenital glaucoma must be ruled out first in any infant with corneal haze - look for epiphora, photophobia, blepharospasm, buphthalmos, and Haab striae
- •Haab striae from congenital glaucoma are horizontal Descemet breaks; forceps injury causes vertical/oblique tears - a classic exam differentiator
- •Peters anomaly presents with central corneal opacity + iridocorneal adhesions (Type I) or keratolenticular adhesion (Type II); bilateral in 80%; 50% develop glaucoma
- •Early intervention (PK within 6–8 weeks for bilateral opacities) is critical to prevent deprivation amblyopia during the sensitive period of visual development
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Keep reading Congenital corneal opacities
17 more sections are included with the Clinical plan.
- Definition
- Epidemiology
- Aetiology and causes
- Pathogenesis
- Classification
- Risk factors and associations