Persistent hyperplastic primary vitreous
Persistent hyperplastic primary vitreous | |
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Synonyms | Congenital retinal detachment, Non-syndromic congenital retinal non-attachment |
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Falciform fold of detached dysplastic retina encircles the persistent hyaloid artery that extends from the optic nerve head to the retrolental mass. | |
Classification and external resources | |
Specialty | medical genetics |
Persistent hyperplastic primary vitreous (PHPV), also known as persistent fetal vasculature (PFV), is a rare congenital developmental anomaly of the eye that results following failure of the embryological, primary vitreous and hyaloid vasculature to regress.[1] It can be present in three forms: purely anterior (persistent tunica vasculosa lentis and persistent posterior fetal fibrovascular sheath of the lens), purely posterior (falciform retinal septum and ablatio falcicormis congenita) and a combination of both.[1] Most examples of PHPV are unilateral and non-hereditary. When bilateral, PHPV may follow an autosomal recessive or autosomal dominant inheritance pattern.
Symptoms
The primary vitreous used in formation of the eye during fetal development remains in the eye upon birth and is hazy and scarred.[2] The symptoms are leukocoria, strabismus, nystagmus and blurred vision, blindness.[3]
Causes/association of bilateral PHPV
- Trisomy 13 (Patau syndrome)
- Norrie disease
- Walker-Warburg syndrome
- Autosomal dominant
- Autosomal recessive
Diagnosis
Causes a 'white reflex' in the affected eye (leukocoria), prompting further investigation.
Treatment
Par plana lensectomy and vitrectomy
See also
References
- 1 2 Silbert, Mira; Gunvood, Andrew S. (2000). "Clinical review, Persistent hyperplastic primary vitreous". Clinical Eye and Vision Care. Ireland: Elsevier Science Ireland Ltd. 12 (3–4): 131–137. doi:10.1016/S0953-4431(00)00054-0. PMID 11137427. Retrieved 2009-05-11.
- ↑ Young, Jane. "Persistent Hyperplastic Primary Vitreous". Retrieved 2009-05-11.
- ↑ "Persistent Hyperplastic Primary Vitreous (PHPV)". www.ssc.education.ed.ac.uk. Retrieved 2016-09-19.
External links
Classification | |
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External resources |
- GeneReviews/NIH/NCBI/UW entry on NDP-Related Retinopathies
- Persistent Hyperplastic Primary Vitreous Involving the Anterior Eye report by Mauricio Castillo, David K. Wallace, and Suresh K. Mukherji