DR. SAKSHI MAKHLOGA

, Dr. SHREYA SHAH, Dr. MEHUL SHAH, DR. ASHWINI KORANNE

Abstract

BACKGROUND: PERSISTENT FETAL VASCULATURE(PFV) IS A SPECTRUM OF DISEASE AND CAN PRESENT WITH NO CLINICAL EFFECTS OR WITH SEVERE MORBIDITY. THIS CONDITION ARISES FROM FAILURE OF THE HYALOID VASCULATURE TO UNDERGO NORMAL PROGRAMMED INVOLUTION. ANY ABNORMALITIES ALONG THE INVOLUTIONAL PATHWAY PRODUCE THE VARIOUS MANIFESTATIONS OF PFV. THESE ARE CATEGORIZED AS ANTERIOR, POSTERIOR OR COMBINED. WITHIN THE DIFFERENTIAL DIAGNOSIS OF CONGENITAL LEUKOCORIA, PFV MUST BE DISTINGUISHED FROM RETINOBLASTOMA AND RETINOPATHY OF PREMATURITY.

METHOD: WE ARE PRESENTING A VIDEO SERIES ON VARIOUS SURGICAL TECHNIQUES FOR PFV SHOWING LIMBAL APPROACH FOR CONGENITAL CATARACT SURGERY ALONG WITH PARS PLANA VITRECTOMY FOR FIBROVASCULAR TISSUE REMOVAL.

CONCLUSION: ALL IN ALL,VITRECTOMY ALONG WITH MEMBRANECTOMY WITH IOL INSERTION PROVIDE GOOD VISUAL OUTCOME IN CASE OF ANTERIOR PFV IF SECONDARY GLAUCOMA AND AMBLYOPIA ARE TAKEN CARE OFF POST OPERATIVELY.