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[Bilateral persistent pupillary membrane and high myopia].

Nouha Zerkaoui1, Amina Laghmari1

  • 1Université Mohammed V Souissi, Service d'Ophtalmologie A de l'Hôpital des Spécialités de Rabat, Centre Hospitalier Universitaire Rabat, Maroc.

The Pan African Medical Journal
|August 14, 2018
PubMed
Summary
This summary is machine-generated.

Persistent pupillary membrane remnants can cause vision problems in children. This case highlights the association with high myopia and the chosen treatment approach.

Keywords:
Persistent pupillary membranehigh myopiamydriatic agents

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Area of Science:

  • Ophthalmology
  • Pediatric Ophthalmology
  • Genetics

Background:

  • Persistent pupillary membrane (PPM) represents congenital remnants of the fetal hyaloid vasculature.
  • These membranes can obstruct the visual axis, potentially leading to amblyopia.
  • Consanguinity in parents raises genetic considerations for ocular anomalies.

Observation:

  • A 4-year-old child with consanguineous parents presented with bilateral persistent pupillary membrane.
  • Clinical examination revealed bilateral PPM, intact iris sphincter, and diffuse chorioretinal atrophy.
  • Refraction demonstrated high myopia in both eyes (RE -10.75 D, LE -10.00 D).

Findings:

  • The persistent pupillary membrane was contiguous to the iris collarette, obstructing the pupillary area.
  • High myopia was a significant associated finding, suggesting a potential link.
  • Visual acuity assessment was challenging due to the observed ocular conditions.

Implications:

  • This case underscores the importance of recognizing PPM and its potential complications, including amblyopia and high myopia.
  • Management strategies for PPM include mydriatic agents, surgical excision, or laser therapy.
  • The chosen treatment involved mydriatic agents, full optical correction, and amblyopia therapy, offering a conservative approach.