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2009 Series -  May 12, 2009 Lecture 34 of 52  NEXT»

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This child is now 2 years old. He was brought in for examination by his parents who reported that, except for the obvious problem with the right eye, the child is healthy. There was a normal pregnancy and delivery and normal development except for the mass in the right orbit that is slowly enlarging. There is no family history for this type of problem and two older siblings are normal. Examination of the left eye was normal.

1. The most likely diagnosis is:

a. hemangioma
b. retinal dysgenisis protuberans
c. microphthalmos (colobomatous) with cyst
d. non-specific result of birth trauma
e. none of the above

2. Regarding the left eye:

a. It should be watched for a sympathetic response.
b. This defect on the right will not have any affect.
c. The child should eventually wear safety glasses.
d. both (a) and (c) are correct
e. none of the above

3. The best treatment would be:
a. enucleation and placement of an orbital implant followed by a cosmetic prostheses
b. irradiation
c. chemoreduction
d. exenteration
e. none of the above

For answers to the above, click here on or after May 19, 2009.

 

 


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