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A 24-year-old man presented with long standing reduced vision and bilateral cataracts with iris and fundus abnormalities. His refraction is OD -4.00D and OS -3.00D and he is wearing glasses. The cataract and iris abnormalities can be seen in the photos.

1.	This condition most likely represents:
	a. unrecognized changes of retinopathy of prematurity b. changes associated with coloboma c. persistent fetal vasculature (formerly persistent hyperplastic primary vitreous) d. posterior lenticonus e. none of the above
2.	What more would you like to know about this patient?
	a. occupation b. near vision c. visual complaints d. getting worse or staying the same e. all of the above
3.	How would you treat this patient?
	a. cataract extraction with placement of an intraocular lens b. cataract extraction with contact lens use c. optical iridectomy d. follow him and repeat refraction as needed e. none of the above

For answers to the above, click here on or after November 15, 2011.