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Bilateral persistent hyperplastic primary vitreous.

Authors
  • Jain, Tarun P
Type
Published Article
Journal
Indian Journal of Ophthalmology
Publisher
Medknow Publications
Publication Date
Jan 01, 2009
Volume
57
Issue
1
Pages
53–54
Identifiers
PMID: 19075412
Source
Medline
License
Unknown

Abstract

A case of bilateral persistent hyperplastic primary vitreous (PHPV) in a 3-month-old male infant, who had bilateral leukokoria, is presented. The child was referred for imaging with a clinical suspicion of retinoblastoma. Gray-scale ultrasound evaluation revealed an echogenic band in the posterior segment of both globes, extending from the posterior surface of the lens capsule to the optic disc. Doppler examination revealed the presence of arterial flow in the band in both globes. Associated echogenic hemorrhage was also seen, which was confirmed by computed tomography. Most cases of PHPV are sporadic and unilateral, and bilateral PHPV is rare. The imaging features in this case suggest the diagnosis of bilateral PHPV and differentiate it from retinoblastoma. This entity, although infrequent, should be considered in the differential diagnosis while evaluating bilateral leukokoria.

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