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Abstract
A 38-year-old man with prior penetrating corneal injury from a fishhook presented with left eye opacity, which developed 26 years after trauma. Examination showed a corneal keloid extending inferiorly from the corneal scar (Fig A). Ultrasound biomicroscopy (UBM) and anterior-segment (AS) OCT demonstrated a lesion over the cornea that was separated from the corneal epithelium by a distinct plane and occasional clefts. The cornea and the lesion were clearly visualized on UBM, while the cornea was obscured by posterior shadowing in AS OCT (Fig B-C).
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