Subscribe to RSS
DOI: 10.1055/a-1739-0462
Long-Term Follow-Up of Recurrent Spontaneous Hyphema Caused by Ruptured Persistent Fetal Vasculature
Langzeitbeobachtung eines rezidivierenden Hyphämas hervorgerufen durch persistierende fötale GefäßeIntroduction
Persistent fetal vasculature (PFV) is a failure of regression of fetal intraocular vasculature during intrauterine life. Its clinical manifestation is variable among patients, depending on the subtype of PFV – anterior, posterior, or combined PFV [1], [2].
In particular, persistent pupillary membranes are part of anterior PFV. These vessels are remnants of the anterior tunica vasculosa lentis and are variably perfused from the minor arterial circle of the iris at the level of the collarette. Rarely, persistent pupillary membranes can cause recurrent hyphema in adults [3], [4], [5], [6], [7], [8].
We report the medical management and the long-term follow-up of an adult woman with recurrent spontaneous hyphema caused by a ruptured remnant of a persistent pupillary membrane.
Publication History
Received: 24 September 2021
Accepted: 09 January 2022
Article published online:
26 April 2022
© 2022. Thieme. All rights reserved.
Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany
-
References
- 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
- 2 Prakhunhungsit S, Berrocal AM. Diagnostic and Management Strategies in Patients with Persistent Fetal Vasculature: Current Insights. Clin Ophthalmol 2020; 14: 4325-4335
- 3 Rydberg M. Haemorrhage from remnants of prepupillary membrane. Acta Ophthalmol 1965; 43: 160-163
- 4 Kotamarthi V, Sarodia O, Woodruff GH. Spontaneous hyphaema secondary to a vascularised fragment of persistent pupillary membrane. Eye (Lond) 2001; 15: 240-241
- 5 Brusini P, Beltrame G. Spontaneous hyphaema from persistent remnant of the pupillary membrane. A case report. Acta Ophthalmol (Copenh) 1983; 61: 1099-1103
- 6 McLean DW. An unusual case of intra-ocular haemorrhage. Br J Ophthalmol 1946; 30: 758
- 7 Laidlaw DA, Bloom PA. Spontaneous hyphaema arising from a strand of persistent pupillary membrane. Eur J Ophthalmol 1993; 3: 98-100
- 8 Agarwal V, Mitra A, Choudhury S. et al. Spontaneous unilateral hyphema from a strand of persistent pupillary membrane. Indian J Ophthalmol 2020; 68: 1158-1159
- 9 Solomos L, Steffen H, Malclès A. Hyphema as First Manifestation of Persistent Fetal Vasculature in an Adult. Ophthalmology 2020; 127: 1514