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2005 Series -  April 12, 2005 Lecture 38 of 52  NEXT»

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This 5-year-old boy was presented for examination by his mother who notices this "spot" in the left eye.  At examination this bluish black pigmentation was observed as shown in the pictures above.  The child is in otherwise good health. 

1.  What other test should be done?   
 

a. fundus examination
b. biomicroscope examination for flare and cell in the anterior chamber and observation for signs of scleritis
c. check of intraocular pressure
d.  all of the above

2.  What should be done next?  
 

a. biopsy
b. MRI of the head
c. the patient should be followed for melanoma and glaucoma for a lifetime
d.  topical steroids

3.  The most likely diagnosis is: 
 
a. melanosis oculi
b. malignant melanoma
c. Huntington's sclerosis
d.  none of the above

For answers to the above, click here on or after April 19, 2005.


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