Peds Ophtho Case 3: Case Continued…

Peds Ophtho Case 3 Index

Answer: On fundoscopic exam, the optic nerve in the left eye would be expected to have an increased cup-to-disc ratio (CDR) (see lower right image), in contrast to the normal CDR of approximately 0.4 in the right eye (see lower left image with cup and disc circumscribed to demonstrate ratio of 0.4).

The elevated intraocular pressure, buphthalmos, and corneal edema in the left eye is most suggestive of congenital glaucoma. 

What is the first-line treatment for this condition? Pick 1 before moving on.
Medical management with topical intraocular pressure lowering drops 
Surgical management
Eye patching
Correction of refractive error with spectacles


Click here to move on!

Peds Ophtho Case 3 Index
Peds Ophtho Case 3: Introduction
Peds Ophtho Case 3: Additional History & Physical Exam
Peds Ophtho Case 3: Ophtho Visit and Exam