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This case describing a 5-month-old child was submitted via Cyber-Sight pre-screening before a Flying Eye Hospital program. The family noticed something "different" about the eyes and presented the child for evaluation by the local physician. Birth, history, growth and development, and behavior have been normal. The child appears to see well. The intraocular pressure and the fundus examination are normal. The presenting physician is concerned about the "corneal diameter", but no measurements are given. The photos show a white "dot" in both eyes, measuring an estimated 1 mm, seen in the center of the pupil. It appears to be located on the anterior lens capsule.

1.	This appears to be:
	a. a Mittendorph dot b. persistent hyperplastic primary vitreous c. nuclear cataract d. anterior polar cataract e. none of the above
2.	The best thing to do now is:
	a. immediate surgery b. give atropine 0.05% in each eye daily c. nothing now, but observe the child for any changes d. iridectomy to enlarge the pupil e. (b) and (d)
3.	This condition is said to be:
	a. sporadic b. bilateral one third of the time c. non-progressive d. autosomal dominant in some cases e. all of the above

For answers to the above, click here on or after August 23, 2011.