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   Table of Contents      
OPHTHALMIC IMAGES
Year : 2018  |  Volume : 66  |  Issue : 12  |  Page : 1860

Persistent fetal vasculature – Clinical spectrum


Advanced Eye Centre, Department of Ophthalmology, Post Graduate Institute of Medical Education and Research, Chandigarh, India

Date of Web Publication19-Nov-2018

Correspondence Address:
Dr. Jagat Ram
Post Graduate Institute of Medical Education and Research, Advanced Eye Centre, Sector 12, Chandigarh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_1042_18

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How to cite this article:
Mehta A, Singh SR, Dogra M, Ram J. Persistent fetal vasculature – Clinical spectrum. Indian J Ophthalmol 2018;66:1860

How to cite this URL:
Mehta A, Singh SR, Dogra M, Ram J. Persistent fetal vasculature – Clinical spectrum. Indian J Ophthalmol [serial online] 2018 [cited 2019 May 21];66:1860. Available from: http://www.ijo.in/text.asp?2018/66/12/1860/245599



Persistent fetal vasculature (PFV) is a congenital anomaly caused due to incomplete regression of the hyaloidal fetal vasculature.[1],[2],[3] [Figure 1]a shows a Mitterndorf dot – a circular opacity on the posterior lens capsule, nasal to the center, which represents the anterior attachment of the hyaloid artery. [Figure 1]b shows limited anterior PFV obscuring the visual axis with a classical stalk. [Figure 1]c demonstrates PFV presenting with a vascularized membrane and prominent ciliary processes. [Figure 1]d images the remnant posterior end of the stalk, the Bergmeister papilla. Identification of these clinical signs enables correct diagnosis and management of PFV.
Figure 1: Clinical spectrum of Persistent Fetal Vasculature (PFV). (a) Mitterndorf dot. (b) Limited anterior PFV with stalk. (c) PFV with a vascularized membrane and prominent ciliary processes. (d) Bergmeister papilla

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There are no conflicts of interest.



 
  References Top

1.
Goldberg MF. Persistent fetal vasculature (PFV): An integrated interpretation of signs and symptoms associated with persistent hyperplastic primary vitreous (PHPV). LIV Edward Jackson memorial lecture. Am J Ophthalmol 1997;124:587-626.  Back to cited text no. 1
    
2.
Pollard ZF. Persistent hyperplastic primary vitreous: Diagnosis, treatment and results. Trans Am Ophthalmic Soc 1997;95:487-549.  Back to cited text no. 2
    
3.
Jinagal J, Gupta PC, Ram J, Sharma M, Singh SR, Yangzes S, et al. Outcomes of cataract surgery in children with persistent hyperplastic primary vitreous. Eur J Ophthalmol 2018;28:193-7.  Back to cited text no. 3
    


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