Microphthalmia with associated PHPV on MRI

Case contributed by Jeremy Jones


Microphthalmia and monocular blindness.

Patient Data

Gender: Female

The left globe is significantly smaller than the right and a low-T2 structure extends through the vitreous to the posterior internal surface of the globe in the midline.  On US this would be vascular.

Case Discussion

Features here are microphthalmia associated with persistent hyperplastic primary vitreous. The diagnostic investigation is an orbital ultrasound (usually performed in conjunction with an ophthalmologist). The MRI was performed to exclude additional intracranial abnormality.

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