DR. RUPALI BARNWAL

DR. MEHUL SHAH, DR. SHREYA SHAH

Abstract

INTRODUCTION- PERSISTENT HYPERPLASTIC PRIMARY VITREOUS IS AN OCULAR DEVELOPMENTAL DISORDER RESULTING FROM INCOMPLETE APOPTOSIS OF EMBRYONIC HYALOID VASCULATURE.

CASE PRESENTATION- PRESENTING A CASE OF 24 YEAR MALE WITH HISTORY OF OF PAIN AND DIMINISHED VISION IN HIS LEFT EYE. EXAMINATION REVEALED PHPV BILATERALLY. PT PREVIOUSLY UNDERWENT TRABECULECTOMY IN RIGHT EYE AND HAS MAINTAINED IOP WHILE ON BETAXOLOL. IN LEFT EYE IOP WAS RECORDED TO BE 40.6MMHG. TO CONTROL THE IOP HE UNDERWENT TRABECULECTOMY IN LEFT EYE AND SHOWED IMPROVEMENT POSTOPERATIVELY AS IOP WAS REDUCED AND STABLE VISUAL ACUITY WHILE ON TOPICAL DORZOLAMIDE-TIMOLOL COMBINATION THERAPY.

CONCLUSION- THIS CASE ILLUSTRATES THE STABLE VISUAL OUTCOME IN AN ADULT WITH BILATERAL PHPV USING AN INTENSIVE MANAGEMENT APPROACH COMPRISING SURGICAL INTERVENTION FOR SECONDARY GLAUCOMA, METICULOUS MONITORING OF REFRACTION, VISUAL ACUITY AND IOP.