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

Appearance of the child at the initial examination

This 2-month-old infant presented with a small, bulging right eye producing several millimeters of proptosis. Birth weight and early history have been normal. The infant has two older siblings who are normal. There is no family history of anything like this.

1.	How would you proceed with this infant?
	a. check the retina of both eyes b. refract c. measure the corneas d. try to estimate vision e. all of the above
2.	After you have finished the above, what would you do next to work up this case?
	a. patch the left eye b. do a biopsy c. order an MRI d. do B-Scan of both orbits e. (c) and (d)
3.	What is a likely diagnosis?
	a. Goldenhar b. typical microphthalmos with cyst c. atypical microphthalmos with cyst d. primary microphthalmos e. none of the above

For answers to the above, click here on or after October 11, 2011.