Paediatric Ophthalmology: Case twelve
This 3 year-old boy with a left strabismus was found to have this fundal appearance.
a. What is the most likely diagnosis?Posterior persistent hyperplastic primary vitreous.b. What is responsible for this condition?
The picture shows a fibrous tissue extending from the optic disc causing distortion of the underlying retinal vessels.It is a congenital condition caused by the failure of the primary vitreous and hyaloid artery to regress.c. What complications can occur with this condition?The vision is usually poor in this condition and the following complications can occur:
The poor vision results in strabismus and/or nystagmus.
- tractional retinal detachment with retinal tear
- vitreous haemorrhage from abnormal blood vessels.
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