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This 3-year-old child has had gradually enlarging eyes for the past 6 months. His corneas are also somewhat cloudy. Intraocular pressure is 45 mmHg in both eyes and the corneal diameter is 12.5 mm in each eye. He is an orphan and not much is known about his prior history and the condition may have been going on longer than reported.

1.	The most likely diagnosis is:
	a. early onset granular dystrophy b. congenital megalocornea c. Selman syndrome d. congenital glaucoma e. none of the above
2.	The following is true about this condition:
	a. occurs most often in the first year of life b. can occur at age 3 or four years and if so is treated like adult open angle glaucoma c. bilateral in 2/3 of cases d. can result in blindness if untreated and with reduced vision even if treated e. all of the above
3.	The best initial treatment option would be:
	a. goniotomy or trabeculotomy b. intense steroids c. diuretics d. filtering with antimetabolites e. none of the above

For answers to the above, click here on or after January 27, 2009.