Aqueous misdirection syndrome in persistent fetal vasculature (PFV)

We report a case of a 5-year-old girl with persistent fetal vasculature who presented with unilateral acute angle closure caused by aqueous misdirection syndrome that was apparently associated with regression of cycloplegia. Initial treatment with topical steroids, anti-glaucomatous drops, and atrop...

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Bibliographic Details
Published in:Arquivos brasileiros de oftalmologia 2017-07, Vol.80 (4), p.260-262
Main Authors: Kato, Renata Tiemi, Borba, Paula Delegrego, Moura, Christiane Rolim de, Allemann, Norma, Moraes, Nilva Simeren Bueno de
Format: Article
Language:English
Subjects:
Child, Preschool
Female
Glaucoma, Angle-Closure - diagnostic imaging
Glaucoma, Angle-Closure - drug therapy
Glaucoma, Angle-Closure - etiology
Glaucoma, Angle-Closure - surgery
Gonioscopy
Humans
Intraocular Pressure
OPHTHALMOLOGY
Persistent Hyperplastic Primary Vitreous - complications
Ultrasonography
Vitrectomy
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Summary:We report a case of a 5-year-old girl with persistent fetal vasculature who presented with unilateral acute angle closure caused by aqueous misdirection syndrome that was apparently associated with regression of cycloplegia. Initial treatment with topical steroids, anti-glaucomatous drops, and atropine showed insufficient control of the intraocular pressure (IOP). Surgical treatment with lensectomy and vitrectomy resulted in satisfactory IOP control and no complications at the 6-month follow-up.
ISSN:0004-2749
1678-2925
1678-2925
DOI:10.5935/0004-2749.20170063