Rare case of right eye persistent fetal vasculature with left eye optic nerve hypoplasia
Journal Title: MedPulse -International Medical Journal - Year 2017, Vol 4, Issue 2
Abstract
Persistent Fetal Vasculature (PFV), previously known as Persistent hyperplastic primary vitreous (PHPV), is a rare congenital developmental malformation of the eye, caused by the failure of structures of primary vitreous to regress. Most common presentation is unilateral. It can occur in isolation, or in association with other ocular disorders and rarely as a part of systemic disorder. Most cases of PFV are sporadic, but it can be inherited as an autosomal dominant or recessive trait. Characteristic features include a persistent hyaloid artery along with certain anterior and posterior segment findings depending on the type of PFV. Radiological investigations (B-Scan ultrasound, Computerised Tomography, Magnetic Resonance Imaging) aid in the diagnosis and differentiation from other causes of leucocoria like retinoblastoma, Coat’s disease, etc Optic nerve hypoplasia (ONH) is a congenital anomaly of optic disc that results from underdevelopment of optic nerve. Most commonly, the occurrence is sporadic though few rare cases have been reported as having autosomal recessive inheritance. Optic disc is characteristically small. This condition may be associated with various neurological and endocrine pathologies. Maternal associations such as premature births, gestational diabetes mellitus may be seen. Thorough ophthalmological investigations as well as radiological investigations (Computerised Tomography, Magnetic Resonance Imaging) along with Hormonal assays, aid in the diagnosis of ONH. This case report discusses 5 days old male child with Right eye Persistent Fetal Vasculature and Left eye Optic Nerve Hypoplasia,
Authors and Affiliations
Sayli Gavaskar, V H Karambelkar, Gaurav Paranjpe, D K Sindal
Keywords
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