1928: irido-corneal adhesions

This patient presents to you with the situation shown in the title picture. There is an inferior corneal leucoma with irido-corneal adhesions at that site. We are not sure what previously happened – it could have been a perforated corneal ulcer that healed or perhaps a history of trauma. The rest of the eye looks normal with a cataract that is being scheduled for surgery. Would you attempt to lyse these irido-corneal adhesions to restore the iris anatomy? Or would you leave it as is?

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