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Photos courtesy of: Jean Shein, M.D. Photos taken by: Joann Givens, CRA, OCT-C.
Used with permission. Not to be reproduced.

A six-year-old girl was presented for examination with a history of having a “white bump” at the “edge” of her left eye. Vision was 20/20 in each eye and motility was normal. Refraction was + 0.50 sphere in each eye and the fundus was normal.

1.	The most likely diagnosis is:
	a. metastatic retinoblastoma b. retained foreign body c. dermoid d. phlyctenule e. none of the above
2.	A lesion like this is most likely to be associated with:
	a. Goldenhar syndrome b. Alport syndrome c. aniridia d. Hallermann-Streiff syndrome e. none of the above
3.	Which of the following is (are) true?
	a. This is a choristoma. b. This can be associated with astigmatism. c. If the lesion is “shaved off” flush with or slightly deeper than the surface of the cornea, the cornea is almost always clear. d. (a) and (b) e. none of the above

For answers to the above, click here on or after July 6, 2010.