Concurrent presentation of aniridia and megalocornea without glaucoma.

We report an 18-month-old boy who presented with aniridia and megalocornea but no evidence of glaucoma. In children with aniridia, glaucoma often does not present with buphthalmos; because, it typically manifests in preadolescence or adolescence, as progressive changes occur in the drainage angle. Megalocornea, however, in the presence of aniridia strongly suggests glaucoma in early infancy. This case represents a previously unreported association of aniridia and megalocornea in an otherwise-healthy child with good vision.