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A three-month old baby had been noted to have a ‘film’ over his eye since birth. Examination revealed a conjunctival mass, also involving the superotemporal limbus. Corneal vascularization was also noted; however, there were no other signs of anterior segment inflammation. Fixation and following were present, the eyes were aligned, and no relative afferent pupillary defect (RAPD) was elicited.

* In this exercise, more than one answer can be correct for each question.

1.	Which of the following would you do in managing this child?
	a. examination under anesthesia b. manage conservatively c. conjunctival biopsy d. complete excision with exploration of orbit e. perform refraction
2.	What is/are the likely diagnosis(es)?
	a. dermoid b. lipoma c. hemangioma d. choristoma e. rhabdomyosarcoma
3.	Associated ocular and systemic associations of this condition include:
	a. scleral/corneal staphylomas b. aniridia c. Goldenhaar syndrome d. linear nevus sebaceous syndrome e. all of the above

For answers to the above, click here on or after August 4, 2009.