Optical Iridectomy for Traumatic Central Corneal Leukoma with Iris Adherence in a 35?Year?Old Male: A Case Report

A 35?year?old male presented to Sankara Eye Hospital, Anand, with a one?year history of left?eye trauma from a wooden stick. He reported progressive diminution of vision in left eye and a whitish corneal opacity that had been present for ten months. Examination revealed a central adherent leukoma with iris adherent to the opacity and a pinpoint (1?mm) pupil. Visual acuity was 6/6 in the right eye and finger?counting at 3?m in the left eye. An optical iridectomy was performed: side?port incisions at 12 and 6?o'clock, blunt dissection of iris adhesions, enlargement of the pupil to 3.5?mm with a vitrectomy cutter, intracameral antibiotic injection, and wound hydration. Post?operatively, uncorrected visual acuity improved to 6/60, with pinhole correction achieving 6/36. This case illustrates the efficacy of optical iridectomy in restoring a functional visual axis in eyes with traumatic central leukoma and iris adherence.