[Persistent hyperplastic primary vitreous and Aicardi syndrome]
M Laghmari1, N Boutimzine, N Chakir
1Service Ophtalmologie A, Hôpital des spécialités, Rabat, Maroc.
Insights
Aicardi syndrome, a rare genetic disorder, can present with ocular abnormalities like persistent hyperplastic primary vitreous (PHPV). This case highlights a 30-year-old female with Aicardi syndrome and PHPV, emphasizing the condition's varied manifestations.
Area of Science:
- Genetics
- Neurology
- Ophthalmology
Background:
- Aicardi syndrome is a rare genetic disorder characterized by infantile spasms, agenesis of the corpus callosum, and chorioretinal lacunae.
- The syndrome predominantly affects females due to early embryonic lethality in males.
- Various general and ocular disorders can be associated with Aicardi syndrome.
Observation:
- This report details a unique case of a 30-year-old woman diagnosed with Aicardi syndrome.
- The patient presented with a rare ocular complication: persistent hyperplastic primary vitreous (PHPV).
Findings:
- The association of Aicardi syndrome with PHPV is exceptionally rare, particularly in adult patients.
- The case underscores the potential for diverse ocular manifestations in Aicardi syndrome, even in adulthood.
Implications:
- This case expands the understanding of Aicardi syndrome's phenotypic variability and long-term implications.
- It highlights the importance of comprehensive ophthalmological evaluation in patients with Aicardi syndrome.
- Further research into the genetic and developmental factors underlying these associations is warranted.
Introduction:
Aicardi syndrome is characterized by infantile spasms, agenesis of the corpus callosum and chorioretinal lacunae. This disorder affects mostly females, with early embryonic lethality in males. Numerous general and ocular disorders may be associated with this affection. We present here a case of persistent hyperplastic primary vitreous (PHPV) in association with Aicardi syndrome in a 30-year-old woman.
Case Report:
The authors report a case of a 30-year-old woman with Aicardi syndrome associated with persistent hyperplastic primary vitreous.
Discussion:
Aicardi syndrome is a polymalformative disease occurring at an early period of embryogenesis. It can affect many ocular structures. This syndrome is essentially described in female children, who rarely reach an adult age. The observation we report is particular because of the patient's age (30-years-old) and the association with a persistent hyperplastic primary vitreous, exceptional in this context.
Conclusion:
With a review of the literature, the Authors discuss the clinical neuroradiological and prognostic aspects of this polymalformative syndrome and different associated general and ocular abnormalities, emphasizing particularly those of persistent hyperplastic primary vitreous in this affection.
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