A child presents with lid lag and an enlarged cornea with a diameter of 13mm. Examination of the eye reveals double contoured opacities concentric to the limbus. Which of the following is the most likely diagnosis -: (A) Superficial keratitis, (B) Deep keratitis, (C) Thyroid Endocrinopathy, (D) Congenital Glaucoma
Answer is D. In congenital glaucoma corneal signs include *corneal enlargement alongwith enlargement of globe - Buphthalmos especially when onset is before age 3 yrs *corneal oedema *Haab's striae -Tears and breaks in Descemt's membrane Ref:Comprehensive ophthalmology-AK Khurana 6th edition chapter-10 page no:226