Question

An infant is brought with complaints of excessive watering of the eyes and photophobia. The image is given below. What is the likely diagnosis ?

• A. Congenital glaucoma
• B. Congenital cataract
• C. Mucopolysaccharidosis
• D. Ophthalmia neonatorum

Answer 1

The Correct Option is A

In the given case, an infant presents with excessive watering of the eyes and photophobia. These symptoms are typically associated with Congenital glaucoma. Let's explore why this is the likely diagnosis: Excessive tearing and light sensitivity in infants suggest increased intraocular pressure, characteristic of congenital glaucoma. The condition is due to improper drainage of the aqueous humor, leading to enlargement of the eyeball and corneal haziness. These signs align with congenital glaucoma, distinguishing it from other options.

• Congenital cataract: This would primarily cause vision obstruction and a white pupillary reflex (leukocoria), but not typically excessive tearing or photophobia.
• Mucopolysaccharidosis: This condition affects various systems, including skeletal and organ systems, and can lead to corneal clouding, but is not primarily related to photophobia or excessive tearing alone.
• Ophthalmia neonatorum: This is a type of conjunctivitis in newborns, presenting with eye redness and discharge, but not specifically associated with photophobia or excessive tearing without visible infection signs.

Therefore, the presence of excessive tearing and sensitivity to light in infants effectively suggests Congenital glaucoma.