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2005 Series -  August 16, 2005 Lecture 20 of 52  NEXT»

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This 4-year-old boy was struck in the left eye three days ago by a toy arrow during play.  His vision is OD 20/20, OS bare light perception.  He is otherwise healthy and had perfectly normal ocular health prior to the injury.  Examination reveals a "fluffy" white mass in the anterior chamber.  A small beveled corneal laceration is seen which appears to be self-sealing.

1.  The most likely diagnosis in this case is:   
 

a. fungal infection in the anterior chamber
b. anterior chamber foreign body
c. traumatic cataract
d.  none of the above

2.  Work up should include:  
 

a. ultrasound study of the posterior segment
b. careful study for evidence of uveal prolapse
c. thorough evaluation of the other eye
d.  all of the above

3.  Treatment would include:
 
a. topical steroids followed by cataract extraction with placement of an intraocular lens
b. observation
c. repair of the corneal laceration with 10 nylon suture
d.  none of the above

For answers to the above, click here on or after  August 23, 2005.


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