A one month-old male child presents with cloudy corneas, tearing and photophobia. He was born full-term by normal vaginal delivery and is otherwise healthy. There is no family history of glaucoma. Examination under anesthesia reveals increased corneal diameter, corneal epithelial edema and Haab’s striae in both eyes. IOP measures 45 mmHg right and 48 mmHg left.

Created by:

Dr. Karthikeyan Arcot Sadagopan

Alex V. Levin, MD, MHSc, FRCSC
Chief, Pediatric Ophthalmology and Ocular Genetics
Wills Eye Hospital
Philadelphia, USA

23 comments

    1. The genetic testing is definitely NOT mandatory and I rarely order testing in these cases unless there is a need for family counseling regarding the possible risk of future children in the family being affected. The primary concern for this infant is timely surgical intervention with trabeculotomy to lower the intraocular pressure and clear the corneas.

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