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Klin Monbl Augenheilkd 2020; 237(04): 396-397
DOI: 10.1055/a-1067-4106
DOI: 10.1055/a-1067-4106
Der interessante Fall
Femtosecond Laser-Assisted Cataract Surgery in a Patient with Persistent Pupillary Membrane
Femtosekundenlaser-assistierte Kataraktchirurgie bei bestehender EpipupillarmembranFurther Information
Publication History
received 25 September 2019
accepted 13 October 2019
Publication Date:
03 February 2020 (online)

Background
Persistent pupillary membrane (PPM) is a condition of the eye involving remnants of a fetal membrane that persist as strands of tissue crossing the pupil. The pupillary membrane in mammals exists in the fetus as a source of blood supply for the lens. It normally atrophies from the time of birth to the age of 4 to 8 weeks. PPM occurs when this atrophy is incomplete. It generally does not cause any symptoms; however, it can be challenging during cataract surgery due to an increased risk of bleeding and reduced visibility [1], [2], [3], [4].
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References
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- 2 Matsuo N, Smelser GK. Electron microscopic studies on the pupillary membrane: The fine structure of the white strands of the disappearing stage of this membrane. Invest Ophthalmol 1971; 10: 108-119
- 3 Hadi HA, Hobbs CL. Effect of chronic intrauterine stress on the disappearance of tunica vasculosa lentis of the fetal eye: a neonatal observation. Am J Perinatol 1990; 7: 23-25
- 4 Mandal AK, Netland PA. The Pediatric Glaucomas. Maryland Heights, MO: Elsevier, Butterworth Heinemann; 2006: 16
- 5 Berk TA, Schlenker MB, Campos-Möller X. et al. Visual and Refractive Outcomes in Manual versus Femtosecond Laser-Assisted Cataract Surgery: A Single-Center Retrospective Cohort Analysis of 1838 Eyes. Ophthalmology 2018; 125: 1172-1180
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- 7 Gupta R, Kumar S. Sonika. et al. Laser and surgical management of hyperplastic persistent pupillary membrane. Ophthalmic Surg Lasers Imaging 2003; 34: 136-139
- 8 Brusini P, Beltrame G. Spontaneous hyphaema from persistent remnant of the pupillary membrane. A case report. Acta Ophthalmol (Copenh) 1983; 61: 1099-1103