OSLI Retina

May 2019

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330 Ophthalmic Surgery, Lasers & Imaging Retina | Healio.com/OSLIRetina ■ I M A G E S I N O P H T H A L M O L O G Y ■ Multiple Vascular Stalks in a Patient With Persistent Fetal Vasculature Saumya M. Shah, BS; Darius M. Moshfeghi, MD ABSTRACT: Persistent fetal vasculature (PFV) is a well-defined phenomenon that is characterized by the presence of fetal hyaloid vessels within the eye after birth. Although there have been numerous studies describing the occurrence, surgical man- agement, and possible pathogenesis of PFV, few studies have discussed the possibility of a patient having more than one vascular stalk. The authors describe a 5-year-old female with PFV having two well-delineated stalks. [Ophthalmic Surg Lasers Imaging Retina. 2019;50:330-331.] A 5-year-old female with a history of presumed persistent fetal vasculature in the left eye since birth was referred to our clinic for a possible retinal tear secondary to regression of retinal vessels. Past ocu- lar history included cataract extraction with intra- ocular lens implant in the left eye. Her visual acuity (VA) was 20/30 in the right eye and counting fingers at a 1-foot distance in the left eye. She had intermit- tent esotropia and afferent pupillary defect in the left eye and normal pupillary response and extraoc- ular movement in the right eye. On slit-lamp exami- nation, the anterior segment was normal bilaterally, and a dilated funduscopic examination demonstrat- ed haziness secondary to a combined tractional and rhegmatogenous retinal detachment in the left eye. Fundus photography revealed a normal retina in the right eye and a vascular stalk at the head of the optic nerve extending to the posterior lens capsule with some inferior vitreoretinal hemorrhage, in addition to another stalk extending and embedding into the temporal macula. There was no evidence of intraoc- ular masses or calcifications. The patient underwent a pars plana vitrectomy with epiretinal membrane (ERM) peel and resection of the stalk anterior to the optic nerve head. Her VA improved slightly but she From Mayo Clinic School of Medicine, Rochester, Minnesota (SMS); and Byers Eye Institute, Horngren Family Vitreoretinal Center, Department of Ophthal- mology, Stanford University School of Medicine, Palo Alto, California (DMM). Originally submitted August 10, 2018. Revision received August 10, 2018. Accepted for publication November 6, 2018. Mr. Shah has no relevant financial disclosures. Dr. Moshfeghi is on the board of directors for and has equity in 1-800 Contacts; is on the Data Monitoring Committee for Alcon; is the founder of, on the board of directors for, and has equity in dSentz, Pr3vent, and Promisight; is on the Steering Committee for Iconic Therapeutics; has equity in Grand Legend Technology; is on the scientific advisory board for Irenix; is a CME consultant for Novartis, Regeneron, and Vindico; is on the scientific advisory board for and has equity in Pykus; is the founder of and has equity in Versl; and is the founder of, has equity in, and is a consultant for Visunex Medical Systems Co. Ltd. Dr. Moshfeghi did not participate in the editorial review of this manuscript. Address correspondence to Darius M. Moshfeghi, MD, Byers Eye Institute, Horngren Family Vitreoretinal Center, Department of Ophthalmology, Stanford University School of Medicine, 2452 Watson Court, Room 2277, Palo Alto, CA; email: darius.moshfeghi@stanford.edu. doi: 10.3928/23258160-20190503-12

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