Paediatrics
Anterior Persistent Foetal Vasculature
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A differential in leucocoria
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Most common cause of unilateral congenital cataract
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Persistent hyaloid artery results in a white retrolental mass
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Associated with
- Microphthalmos (cp with Rb which is very rare in microphthalmic eyes)
- Shallow AC
- Long ciliary processes
- Guarded visual prognosis due to glaucoma, cataract, deprivational amblyopia
- Tractional retinal detachment in severe cases
- M=F
- Present at birth
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Management: difficult. Early cataract removal, membrane excision, CL wear, amblyopia treatment