A one month-old male child presents with cloudy corneas, tearing and photophobia. He was born full-term by normal vaginal delivery and is otherwise healthy. There is no family history of glaucoma. Examination under anesthesia reveals increased corneal diameter, corneal epithelial edema and Haab’s striae in both eyes. IOP measures 45 mmHg right and 48 mmHg left.
Created by:
Dr. Karthikeyan Arcot Sadagopan
Alex V. Levin, MD, MHSc, FRCSC
Chief, Pediatric Ophthalmology and Ocular Genetics
Wills Eye Hospital
Philadelphia, USA
Thank you so much. Give us more
It was very informative quiz
Thanks for the quiz
very educative
Thanks for the quiz.
VERY EDUCATIVE
Thanks for these good genetics information
Very nice quiz. Thanks
Great case question!
Very enlightening. Thank you for sharing.
Very educative.
Nice information on genetics
Thank you..very informative
Very educative
Bilateral congenital glaucoma
Very typical thank you for sharing
Interesting Quiz.Thank you
Wonderful information
Is it mandatory to do all these genetic tests? And what’s there role playing in management??
The genetic testing is definitely NOT mandatory and I rarely order testing in these cases unless there is a need for family counseling regarding the possible risk of future children in the family being affected. The primary concern for this infant is timely surgical intervention with trabeculotomy to lower the intraocular pressure and clear the corneas.
Interesting case
Thanks so much.
Very informative
It was very informative
Thank you for the quiz