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Hyperplastic persistent pupillary membrane

T Kolin1, A L Murphee

  • 1Children's Hospital Los Angeles and Department of Ophthalmology, University of Southern California, 90027, USA.

American Journal of Ophthalmology
|June 1, 1997
PubMed
Summary
This summary is machine-generated.

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This study reports on a child with extensive bilateral hyperplastic pupillary membranes who maintained good visual acuity. This finding suggests that surgical intervention may not always be necessary for this condition.

Area of Science:

  • Ophthalmology
  • Pediatric ophthalmology

Background:

  • Persistent pupillary membranes (PPM) are congenital anomalies that can affect vision.
  • Hyperplastic PPM are a less common variant, potentially leading to visual impairment.

Observation:

  • A 9-year-old child presented with extensive bilateral hyperplastic pupillary membranes since birth.
  • The child's ophthalmic examination revealed normal extraocular movements and orthophoria.

Findings:

  • Despite extensive bilateral hyperplastic pupillary membranes, the patient achieved a corrected visual acuity of 20/30 in both eyes (BE).
  • Excellent stereopsis (50 seconds of arc) was noted, indicating preserved binocular vision.

Implications:

  • Extensive bilateral hyperplastic pupillary membranes do not invariably lead to poor visual outcomes.

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  • Conservative management may be appropriate for select pediatric cases of hyperplastic PPM, avoiding unnecessary surgical intervention.