Bilateral congenital buphthalmos in two sisters.

Case 1, a girl aged 3 years (III, 5), was born at full term on November 8, 1953. At birth the corneae were noticed to be enlarged and cloudy, and she was transferred to the Royal Eye Hospital a few days later. On admission both corneae were enlarged and hazy. The anterior chamber was deep in each eye. Fundus details were not seen. The corneal diameter was 115 mm. in the right eye and 12 mm. in the left. The ocular tension was 29 mm. Hg (Schiotz) in the right eye and 28 mm. Hg. in the left. The ocular tension was controlled in the right eye by goniotomy, using Barkan's method; this was repeated five times. The left eye required seven goniotomies and finally a trephine. Since May, 1955, when the child was 18 months old, the tension has remained controlled in both eyes, the corneae are clear, and no drops are required. The optic discs are pale and cupped.