关键词: Amblyopia Congenital cataract Persistent fetal vasculature Persistent hyperplastic primary vitreous Tunica vasculosa lentis

Mesh : Child, Preschool Conservative Treatment / methods Disease Progression Eyeglasses Female Follow-Up Studies Humans Persistent Hyperplastic Primary Vitreous / diagnosis physiopathology therapy Recovery of Function Sensory Deprivation Visual Acuity / physiology Vitreous Body / abnormalities diagnostic imaging

来  源:   DOI:10.1186/s12886-019-1173-3   PDF(Sci-hub)   PDF(Pubmed)

Abstract:
BACKGROUND: Persistent hyperplastic primary vitreous (PHPV) is a rare congenital developmental ocular disorder caused by incomplete regression of the embryonic hyaloid vasculature. Here we report a case of nonsurgical unilateral anterior PHPV that was managed by amblyopia treatment and resulted in an improvement of visual acuity and regression of the fetal vasculature.
METHODS: A three-year-old girl was diagnosed with unilateral anterior PHPV in the left eye, manifested with posterior pole cataract, posterior capsule opacification, tunica vasculosa lentis, and a floating hyaloid artery connected to the retrolental mass. The plaque was not large enough to fill the pupil, and conservative management along with amblyopia treatment was conducted. Nineteen months later, the visual acuity in the affected eye improved from 20/100 to 20/50 with correction, and the fetal vasculature regressed gradually and finally into a nonperfusion ghost vessel.
CONCLUSIONS: In PHPV-affected children, regression of the fetal vasculature may be observed, and conservative management and amblyopia treatment may be helpful for visual improvement.
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