Direct View of the Angle Structures in Bilateral Congenital Megalocornea

A 3-year-old boy presented to the pediatric ophthalmology department with a diagnosis of bilateral congenital megalocornea. On observation, he had extremely large corneal diameters with minimal sclera show (Fig 1A), and the appearance of large palpebral apertures. There was a corneal optical aberration when viewed from the side (left eye; Fig  1B) and when magnified, it is possible to view the angle structures (right eye; Fig 1C) without the aid of a gonioscopy lens. Apart from the corneas, all anterior segment structures appeared to be normal, with no evidence of glaucoma.
Source: Ophthalmology - Category: Opthalmology Authors: Tags: Pictures & Perspectives Source Type: research