Congenital Glaucoma – Board-Style Questions

What this deck covers

congenital glaucoma in 18 board-style clinical cases with worked explanations. Each case gives you a clinical vignette, four options, the correct answer, and an explanation of why each of the other three is wrong, with the guideline or textbook it follows named on the answer.

Board-style teaching questions for paediatricians and trainees preparing for paediatric board, MRCPCH and licensing examinations. Written from published guidelines and standard paediatric textbooks, with the source named on every answer.

The 18 cases, in order

1. The dazzled baby
2. Why it grows
3. A ground-glass window
4. Curved streaks
5. Across the window
6. Where the fluid leaves
7. Behind the eye
8. A longer eye
9. Two affected cousins
10. Not a waiting matter
11. What the drops do
12. A sleepy baby
13. Pressure controlled, sight poor
14. One eye only
15. How long we watch
16. What to promise
17. A struggling reading
18. The other children

Diagnoses and management options tested

Across the 18 cases you are asked to choose between options such as: Viral conjunctivitis of both eyes, An infant’s coats are elastic and stretch under pressure, Scarring left behind by an infection acquired before birth, New blood vessels growing inward from the edge of the cornea, A corneal diameter above 12 mm in the first year of life, Overproduction of aqueous humour by the ciliary body itself, Position of the lens, which settles backwards after surgery, He is exaggerating his difficulty in order to avoid schoolwork, CYP1B1, inherited in an autosomal recessive pattern, Drops alone for three months, then a clinic review, Treatment of the pain, with no effect on pressure, Latanoprost, which darkens the iris slowly over some years, A scar across the cornea left by the early clouding, An injury to the eye during a difficult delivery.

Clinical pearls from this deck

• Watering, dazzled and squeezing: suspect pressure.
• A baby’s eye stretches where an adult’s cannot.
• A cloudy cornea in a baby is wet cornea.
• Deep corneal breaks record a stretched eye.
• Over 12 mm wide in year one is a stretched eye.
• The drain is at fault here, never the tap.

Work through the deck once for recognition, then again a week later to test yourself — each question gives the answer and explains why every other option fails.

More from this system: all ENT and ophthalmology case decks · pediatric reference values.