Abstract

A 17-year-old male presented with complaints of left eye white opacity for the last 9 years, with slow increase in size, with associated painless diminution of vision. Past history of a trivial non-penetrating trauma with gravel, followed by redness and pain, which got better with topical medications. A white opacity had developed thereon.
On examination, BCVA RE was 6/6 and LE was finger counting close to face with accurate projection of rays. There was a left divergent squint of approximately 30° by Hirschberg test. Slit-lamp biomicroscopic examination revealed an inferonasal 6*7mm irregular white corneal opacity with overlying band-shaped keratopathy. A slit beam through the peripheral part of the opacity suggested associated superficial stromal scarring, while the central area being dense, precluded depth assessment. The temporal part of the cornea seemed to be normal.