PHPV and retinal detachment

Case contributed by Dr Ian Bickle

Presentation

2 year old. Bilateral leucocoria and visual impairment

Patient Data

Age: 2
Gender: Female
Modality: CT

CT performed March 2012. Patient aged 1 year. Indication: Bilateral microphthalmia and behavious problems.

As clinically described, there is bilateral micro-ophthalmia with increased density posteriorly in the right globe.  On the left, there is the impression of a cord of increased density that traverses the posterior chamber.

Modality: MRI

MRI performed 1 year later. Indication: Viually handicapped with bilateral optic disc opacification.

As demonstrated at CT, there is bilateral micro-ophthalmia.  Cords can be seen between the posterior retina to the lens.  In addition, there is high T1, and high T2 signal in the posterior portion of the right globe that does not suppression fluid-suppression sequences.  Features here are consistent with bilateral PHPV with associated retinal detachment on the right.

Case Discussion

There is bilateral PHPV with a cord extending from the posterior portion of the retina to the lens.  On the right there are features of associated retinal detachment (which occurs in about 40% of cases).

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Case Information

rID: 23314
Case created: 4th Jun 2013
Last edited: 25th Feb 2016
Inclusion in quiz mode: Included

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