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This 8-year-old boy presents with what his parents describe as large “eyes”. As you look at the boy in the clinic you see that the child appears to have large corneas. Before doing anything beyond looking at the boy:

1.	What is your first thought about a possible diagnosis?
	a. high hyperopia b. nothing; you have nothing to go on c. mixed astigmatism d. Sturge Weber e. congenital glaucoma
2.	What would you do next?
	a. check visual acuity b. do a refraction c. examine the cornea for clarity and horizontal diameter d. look at the optic nerve e. all of the above
3.	If all of the above were normal, which of the following would you be most likely to find?
	a. Lisch nodules b. increased axial length c. iris transillumination d. a sister who has similar findings e. a father with similar findings

For answers to the above, click here on or after August 12, 2008.