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Klin Monbl Augenheilkd 2022; 239(04): 556-558
DOI: 10.1055/a-1739-0462
Der interessante Fall

Long-Term Follow-Up of Recurrent Spontaneous Hyphema Caused by Ruptured Persistent Fetal Vasculature

Langzeitbeobachtung eines rezidivierenden Hyphämas hervorgerufen durch persistierende fötale Gefäße
Emmanuelle Moret
Department of Ophthalmology, Hôpital Ophtalmique Jules-Gonin, University of Lausanne, Lausanne, Switzerland
,
Raphaël Wuarin
Department of Ophthalmology, Hôpital Ophtalmique Jules-Gonin, University of Lausanne, Lausanne, Switzerland
,
Ann Schalenbourg
Department of Ophthalmology, Hôpital Ophtalmique Jules-Gonin, University of Lausanne, Lausanne, Switzerland
,
Thomas J. Wolfensberger
Department of Ophthalmology, Hôpital Ophtalmique Jules-Gonin, University of Lausanne, Lausanne, Switzerland
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Introduction

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

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