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This 18 year-old man was first seen at age 4 months with unilateral buphthalmos and Haab striae. He had near total cupping in his left eye. The patient underwent a trabeculotomy at age 4 months. The video is at age 18. At this time he had an intraocular pressure on no medications of 14 mmHg and healthy optic nerve (C/D 0.25 vs. 0.1 OD).