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2009 Series -  January 6, 2009 Lecture 52 of 52  NEXT»

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This two-year-old girl was brought in by her parents who described a “white bump” on the child’s left eye. This was causing the girl no apparent problem. Her eyes were aligned, and except for this lesion and slight astigmatism noted at retinoscopy, the eye examination was normal.

1. The most likely diagnosis is:

a. amelanotic hemangioma
b. essential hamartoma
c. epibulbar dermoid
d. retained foreign body
e. none of the above

2. The following is true about this lesion:

a. The lesion tends to grow with the child and the eye.
b. It is an example of normal tissue in an abnormal location.
c. It is a choristoma.
d. The usual location for the lesion is at the inferior temporal limbus.
e. all of the above

3. This condition is usually managed by:
a. excising the elevated portion of the lesion
b. injecting the lesion with antimetabolites
c. nothing; it will go away spontaneously by the teen years
d. a contact lens with a notch to accommodate the raised portion of the lesion
e. none of the above

For answers to the above, click here on or after January 13, 2009.



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