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This five-month-old female presented with a lesion at the 2 o’clock position of the left eye as shown in the pictures.  An ultrasound was performed and is shown.  There has been  some evidence of iritis, and there is an increase in the intraocular pressure in the left eye.  There is no evidence of hyphema.  The child is otherwise normal.  There were no complications during the pregnancy or delivery and the child is meeting developmental milestones.

1.	The most likely diagnosis is:
	a. retinoblastoma b. juvenile xanthogranuloma c. primary iris stromal cyst d.  cyst of the pigmented epithelium e. a lisch nodule
2.	Treatment of this condition is:
	a. aspiration and photocoagulation b. aspiration and photodisruption c. surgical excision d.  careful injection of trichloroacetic acid e. all of the above

For answers to the above, click here on or after May 1, 2007.