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2009 Series : January 20, 2009

December 29, 2009  |  December 22, 2009  |  December 15, 2009  |  December 8, 2009  |  December 1, 2009  |  November 24, 2009  |  November 17, 2009  |  November 10, 2009  |  November 3, 2009  |  October 27, 2009  |  October 20, 2009  |  October 13, 2009  |  October 6, 2009  |  September 29, 2009  |  September 22, 2009  |  September 15, 2009  |  September 8, 2009  |  September 1, 2009  |  August 25, 2009  |  August 18, 2009  |  August 11, 2009  |  August 4, 2009  |  July 28, 2009  |  July 21, 2009  |  July 14, 2009  |  July 7, 2009  |  June 30, 2009  |  June 23, 2009  |  June 16, 2009  |  June 9, 2009  |  June 2, 2009  |  May 26, 2009  |  May 19, 2009  |  May 12, 2009  |  May 5, 2009  |  April 28, 2009  |  April 21, 2009  |  April 14, 2009  |  April 7, 2009  |  March 31, 2009  |  March 24, 2009  |  March 17, 2009  |  March 10, 2009  |  March 3, 2009  |  February 24, 2009  |  February 17, 2009  |  February 10, 2009  |  February 3, 2009  |  January 27, 2009  |  January 20, 2009  |  January 13, 2009  |  January 6, 2009

To see views enlarged, click on the individual pictures...

This 3-year-old child has had gradually enlarging eyes for the past 6 months. His corneas are also somewhat cloudy. Intraocular pressure is 45 mmHg in both eyes and the corneal diameter is 12.5 mm in each eye. He is an orphan and not much is known about his prior history and the condition may have been going on longer than reported.

1. The most likely diagnosis is:

a. early onset granular dystrophy
b. congenital megalocornea
c. Selman syndrome
d. congenital glaucoma
e. none of the above

2. The following is true about this condition:

a. occurs most often in the first year of life
b. can occur at age 3 or four years and if so is treated like adult open angle glaucoma
c. bilateral in 2/3 of cases
d. can result in blindness if untreated and with reduced vision even if treated
e. all of the above

3. The best initial treatment option would be:
a. goniotomy or trabeculotomy
b. intense steroids
c. diuretics
d. filtering with antimetabolites
e. none of the above

For answers to the above, click here on or after January 27, 2009.