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Ophthalmic Doppler in persistent hyperplastic primary vitreous atypical presentation: case report.

Maira Saad de Avila Morales¹, Márcia Beatriz Tartarella¹, Enéias Bezerra Gouveia¹

¹Department of Ophthalmology and Visual Sciences, Paulista School of Medicine, Universidade Federal de São Paulo, São Paulo, SP, BR.

Arquivos Brasileiros De Oftalmologia

|October 15, 2015

Summary

This case study highlights persistent hyperplastic primary vitreous (PHPV) in a child, diagnosed using Doppler ultrasound. The ultrasound revealed blood flow, confirming PHPV with Bergmeister's papilla.

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Area of Science:

Ophthalmology
Medical Imaging
Pediatric Medicine

Background:

Persistent hyperplastic primary vitreous (PHPV) is a congenital condition affecting the eye.
Unilateral leukocoria in children can indicate various serious ocular pathologies.
Accurate diagnosis is crucial for appropriate management and visual prognosis.

Observation:

A pediatric case presented with unilateral leukocoria and a white optic nerve mass extending to the retina.
Initial ultrasound suggested differential diagnoses including PHPV, granuloma, astrocytic hamartoma, and retinoblastoma.
Fundoscopic examination revealed a distinct white mass on the optic nerve.

Findings:

Doppler ultrasound demonstrated blood flow within a membrane, confirming PHPV.
The diagnosis was further specified as PHPV associated with atypical Bergmeister's papilla and a patent hyaloid artery.
This imaging finding differentiated PHPV from other potential causes of leukocoria.

Implications:

Doppler ultrasound is a valuable tool for diagnosing complex pediatric ocular conditions like PHPV.
Early and accurate diagnosis of PHPV is essential for timely intervention.
Understanding the role of vascularity in diagnosis aids in differentiating ocular masses in children.