Progression of a unilateral posterior lentiglobus associated with a persistent fetal vasculature stalk

Thin posterior capsule in persistent fetal vasculature causing an appearance of spontaneous posterior capsular rupture

“…Our patient had unilateral high myopia (probably with lenticular[ 2 ] component), anisometropic amblyopia, with PFV, and an apparent appearance of PCR in the RE. A PCR was ruled out using ASOCT and UBM.…”

Posterior lentiglobus

“…Posterior lentiglobus is a developmental anomaly of the lens in which the posterior portion of the lens bulges posteriorly[ 1 ] in a globular shape simulating an egg. Etiology is obscure, though it can present as the only ocular abnormality or in association with persistent fetal vasculature,[ 2 ] morning glory syndrome,[ 3 ] or Alport syndrome. [ 4 ] Management included “slow-motion” phacoaspiration (i.e., decreased fluidic parameters of vacuum, aspiration flow rate, and bottle height) with posterior capsulotomy and anterior vitrectomy.…”