Abstract
PURPOSE: To present a follow-up on children with persistent fetal vasculature (PFV) when surgery was not performed. METHODS: From January 1992 through June 2001, 31 infants (31 eyes) with PFV were evaluated to document the number of eyes operated on versus eyes not operated on to determine whether the latter group remained stationary or became worse. RESULTS: Seventeen of the 31 eyes underwent surgery. Of the 14 eyes not undergoing surgery, 7 were judged to be inoperable. The remaining 7 eyes were not operated on because the fundus could be visualized through an undilated pupil. Follow-up on 5 of the 7 eyes ranged from 18 months to 9.5 years. None showed progression of the lens opacity or development of retinal detachment. The eyes were amblyopic but functional. CONCLUSIONS: In this limited series of eyes with PFV where the plaque was not large enough to fill the pupil, the eyes followed up were amblyopic, but useful vision was retained and the lens opacity did not enlarge.
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Selected References
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- Alexandrakis G., Scott I. U., Flynn H. W., Jr, Murray T. G., Feuer W. J. Visual acuity outcomes with and without surgery in patients with persistent fetal vasculature. Ophthalmology. 2000 Jun;107(6):1068–1072. doi: 10.1016/s0161-6420(00)00100-7. [DOI] [PubMed] [Google Scholar]
- Anteby Irene, Cohen Evelyne, Karshai Ilana, BenEzra David. Unilateral persistent hyperplastic primary vitreous: course and outcome. J AAPOS. 2002 Apr;6(2):92–99. doi: 10.1067/mpa.2002.121324. [DOI] [PubMed] [Google Scholar]
- Dass A. B., Trese M. T. Surgical results of persistent hyperplastic primary vitreous. Ophthalmology. 1999 Feb;106(2):280–284. doi: 10.1016/S0161-6420(99)90066-0. [DOI] [PubMed] [Google Scholar]
- Federman J. L., Shields J. A., Altman B., Koller H. The surgical and nonsurgical management of persistent hyperplastic primary vitreous. Ophthalmology. 1982 Jan;89(1):20–24. doi: 10.1016/s0161-6420(82)34854-x. [DOI] [PubMed] [Google Scholar]
- Goldberg M. F. 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 Nov;124(5):587–626. doi: 10.1016/s0002-9394(14)70899-2. [DOI] [PubMed] [Google Scholar]
- Karr D. J., Scott W. E. Visual acuity results following treatment of persistent hyperplastic primary vitreous. Arch Ophthalmol. 1986 May;104(5):662–667. doi: 10.1001/archopht.1986.01050170052020. [DOI] [PubMed] [Google Scholar]
- Mittra R. A., Huynh L. T., Ruttum M. S., Mieler W. F., Connor T. B., Han D. P., Pulido J. S., Dev S. Visual outcomes following lensectomy and vitrectomy for combined anterior and posterior persistent hyperplastic primary vitreous. Arch Ophthalmol. 1998 Sep;116(9):1190–1194. doi: 10.1001/archopht.116.9.1190. [DOI] [PubMed] [Google Scholar]
- Pollard Z. F. Persistent hyperplastic primary vitreous: diagnosis, treatment and results. Trans Am Ophthalmol Soc. 1997;95:487–549. [PMC free article] [PubMed] [Google Scholar]
- REESE A. B. Persistent hyperplastic primary vitreous. Am J Ophthalmol. 1955 Sep;40(3):317–331. doi: 10.1016/0002-9394(55)91866-3. [DOI] [PubMed] [Google Scholar]
- Roussat B., Barbat V., Cantaloube C., Baz P., Iba-Zizen M. T., Hamard H. Syndrome de persistance et d'hyperplasie du vitré primaire. Aspects cliniques et thérapeutiques. J Fr Ophtalmol. 1998 Aug-Sep;21(7):501–507. [PubMed] [Google Scholar]
- Scott W. E., Drummond G. T., Keech R. V., Karr D. J. Management and visual acuity results of monocular congenital cataracts and persistent hyperplastic primary vitreous. Aust N Z J Ophthalmol. 1989 May;17(2):143–152. doi: 10.1111/j.1442-9071.1989.tb00504.x. [DOI] [PubMed] [Google Scholar]
- Silbert M, Gurwood AS. Persistent hyperplastic primary vitreous. Clin Eye Vis Care. 2000 Dec;12(3-4):131–137. doi: 10.1016/s0953-4431(00)00054-0. [DOI] [PubMed] [Google Scholar]