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2004 Series -  February 24, 2004 Lecture 45 of 50  NEXT»

 

                      baby  

This 1-year-old child is presented as shown with enlarged cloudy corneas epiphora and fussiness.  There is no family history of this type of eye abnormality.  The patient is otherwise healthy. 

1.  The most likely diagnosis in a case like this is: 
  a.  congenital glaucoma
b.  congenital cataract
c.  hereditary corneal dystrophy
d.  lye burn

2.  Initial work-up of this child should include:
  a.  measurement of intraocular pressure
b.  measurement of corneal diameter
c.  evaluation of the cornea
d.  all of the above

3.  In a case like this, the most appropriate immediate intervention would be:
  a.  MRI of the orbit
b.  corneal biopsy
c.
  surgical procedure to lower the intraocular pressure
d.  Pilocarpine drops

 

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