As recently demonstrated via UBM by Nakagawa and colleagues,1 rupture of the Descemet membrane in keratoconus is also often accompanied by clefting of the stromal tissue. This leads to acute corneal opacification as well as a permanent scar after healing by secondary intention. A similar final pathway, but with minimal stromal cicatrization due to healing by primary intention, may be present in congenital glaucoma with megalocornea. Imaging with UBM has proved reliable in delineating different corneal layers when compared with histopathological sections and allows for in vivo anatomical studies.2 We performed UBM image acquisition under general anesthesia in a patient with congenital glaucoma, both prior to surgical treatment and during routine follow-up. Images obtained (Figures 1, 2, 3, 4, and 5) demonstrate mechanical stretching of the cornea leading to rupture of the Descemet membrane accompanied by heretofore unrecorded clefting of the stromal tissue. Imaging of the cornea with UBM can provide information regarding the presence, position, and evolution of potential breaks in the Descemet membrane along with clefting of the stromal tissue in congenital glaucoma.