To see views enlarged, click on the individual pictures...

A 28-year-old male with past ocular history significant for congenital glaucoma in both eyes (status post successful goniotomies as a young child) presents without complaint and with stable visual acuity for a routine IOP check.  The patient has been on Xalatan and Alphagan for 2 years and the IOP upon examination is 18 OU.  The medical student examining the patient asks you to examine the patient’s cornea because he sees some “worrisome” corneal findings.

Which of the following explains these corneal findings?

a.  elevated IOP and subsequent corneal edema b. corneal infection c. longstanding corneal findings from prior ruptures of Descemet’s membrane due to the patient’s diagnosis of congenital glaucoma d.  drug toxicity

For answers to the above, click here on or after July 11, 2006.