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Bilateral Persistent Pupillary Membrane.

Hassan Asadigandomani1, Mohammad Soleimani1,2

  • 1Eye Research Center, Farabi Eye Hospital, Tehran University of Medical Sciences Tehran Iran.

Clinical Case Reports
|November 24, 2025
PubMed
Summary
This summary is machine-generated.

Persistent pupillary membranes were observed in a 31-year-old man during a routine eye exam. These bilateral, asymptomatic membranes did not cause vision impairment due to a spared central pupillary zone.

Keywords:
amblyopiairispersistent pupillary membranevisual axis

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Area of Science:

  • Ophthalmology
  • Anatomy
  • Congenital Eye Anomalies

Background:

  • Persistent pupillary membranes (PPM) are congenital remnants of the fetal pupillary membrane.
  • PPMs are typically asymptomatic and resolve spontaneously during development.
  • Persistence of PPMs can occasionally lead to visual disturbances.

Purpose of the Study:

  • To report a case of bilateral asymptomatic persistent pupillary membranes.
  • To highlight the anatomical characteristics of PPM that prevent vision impairment.

Main Methods:

  • Case presentation of a 31-year-old male patient.
  • Routine ophthalmic examination including visual acuity assessment and slit-lamp biomicroscopy.

Main Results:

  • Bilateral, asymptomatic persistent pupillary membranes were identified.
  • A central 1.5 mm pupillary zone remained unaffected by the membranes.
  • No visual impairment was reported by the patient.

Conclusions:

  • Persistent pupillary membranes can be asymptomatic and without visual consequence.
  • The size and location of the unaffected pupillary zone are critical factors in maintaining visual function.
  • Routine eye exams are important for detecting congenital anomalies like PPM.