A. Congenital nasolacrimal duct obstruction
B. Orbital cellulitis
C. Primary congenital glaucoma
D. Endemic keratoconjunctivitis
E. Congenital Horner syndrome
The correct answer is C. Primary congenital glaucoma.
Primary Glaucoma
Primary infantile glaucoma (congenital glaucoma): 1:10,000–1:15,000; 90% sporadic
Caused by developmental defect in the structure of the anterior chamber
Associated systemic syndromes include Sturge–Weber, neurofibromatosis type 1, Marfan, Stickler, Lowe, Rubinstein–Taybi, Wolf–Hirschhorn
Also associated with ocular syndromes such as aniridia, Peters anomaly
Congenital glaucoma, right eye. Note that the right eye and cornea are much larger (buphthalmos) than the left.
Sources: (Question) Peterson AR, Wood KE. Pediatrics Examination and Board Review. New York, NY: McGraw-Hill Education; 2017.
(Explanation) Shah SS et al. The Philadelphia Guide, 2nd ed. New York, NY: McGraw-Hill Education; 2016.
(Photo) Lueder GT. Pediatric Practice Ophthalmology. New York, NY: McGraw-Hill Education; 2011.
Create a Free MyAccess Profile
AccessMedicine Network is the place to keep up on new releases for the Access products, get short form didactic content, read up on practice impacting highlights, and watch video featuring authors of your favorite books in medicine. Create a MyAccess profile and follow our contributors to stay informed via email updates.