Vitreous haemorrhage and other ocular complications of a persistent hyaloid artery

Gonçalves, Arthur Lopes; Cruysberg, Johan R.M.; Draaijer, R.W.; Sellar, P W; Aandekerk, Albert L.; Deutman, August F.

doi:10.1007/bf02583277

Cited by 21 publications

(11 citation statements)

References 4 publications

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“…[14] For diagnosis, slit-lamp examination, fundus examination, fluorescein angiography (FAG), OCT and Doppler ultrasound have been used. [3-8, 13, 15] Gonçalves et al [4] and Chen et al [5] showed proximal filling. Our patient refused to FAG, so we took OCT angiography which was noninvasive to the patient in order to check the blood flow of the PHA.…”

Section: Discussionmentioning

confidence: 99%

OCT Angiography of Persistent Hyaloid Artery: A case report

Jeon

Choi

2019

Preprint

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Background A persistent hyaloid artery is a rare fetal remnant. Several complications such as amblyopia, vitreous hemorrhage, and retinal detachment have been reported. Here, we present a case of vitreous hemorrhage with a persistent hyaloid artery. Case presentation A healthy 16-year-old male presented with blurred vision in his left eye. Vitreous hemorrhage occurred and absorbed spontaneously. Slit-lamp examination demonstrated a Mittendorf’s dot and fundus examination revealed a persistent hyaloid artery. Optical coherence tomography showed a Bergmeister’s papilla. The blood flow of the persistent hyaloid artery via the Bergmeister’s papilla was found by OCT angiography. Conclusion The persistent hyaloid artery should be considered as a cause of spontaneous vitreous hemorrhage of young healthy patient. The OCT angiography will be a useful noninvasive approach to confirm the patency of the persistent hyaloid artery.

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Section: Discussionmentioning

confidence: 99%

OCT Angiography of Persistent Hyaloid Artery: A case report

Jeon

Choi

2019

Preprint

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“…PHPV in humans typically presents as unilateral leukocoria and elongated ciliary processes in a microphthalmic eye . Hemorrhage in the anterior and posterior segments, progressive cataract, microphakia, secondary glaucoma, retinal detachment, and phthisis have been reported in affected human and canine eyes …”

Section: Introductionmentioning

confidence: 99%

Intraocular sarcoma associated with lens capsule rupture and persistent hyperplastic primary vitreous in a dog

Graham

Krockenberger

Billson³

2016

Veterinary Ophthalmology

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This case report describes the clinical findings and ocular pathology in an adult Golden Retriever diagnosed with an intraocular sarcoma. Nineteen s prior to diagnosis with a lens capsule rupture and intraocular sarcoma, the dog was diagnosed with persistent hyperplastic primary vitreous and uveitis based on clinical signs and the ultrasonographic appearance of the eye. Two years after enucleation, there was no evidence of metastatic spread of the sarcoma. The immunohistochemical characteristics of the tumor as well as the limitations and supportive evidence used in attempting to identify the histogenesis of the tumor are outlined.

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“…Vidna oštrina na zahvaćenom oku je nepredvidiva [14][15][16][17]. A. hyaloidea može biti funkcionalna čak i u starijoj životnoj dobi, a da ne utiče na vidnu oštrinu [15].…”

Section: Introductionunclassified

Bilateral persistent hyaloid artery in the adult patient

Trenkic-Božinović¹,

Novak²,

Radenković³

et al. 2015

Tim Med Glas

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Sažetak:Uvod: Hialoidna arterija se pojavljuje u trećoj nedelji gestacije kod embriona i doseže do sočiva u četvrtoj ili petoj nedelji gestacije da bi formirala tunicu vasculosu lentis. Atrofija hialoidne arterije uglavnom se završava pre rođenja. Postojanje hialoidne arterije sa aktivnim krvnim protokom se retko sreće, naročito ako je bilateralno. Postoji nekoliko saopštenja o vitrealnim hemoragijama (spontanim i traumatskim) i trakcionim ablacijama retine koje su u vezi sa perzistentnom hialoidnom arterijom. Pacijent i metode: Pacijent 25 godina starosti javio se oftalmologu zbog subjektivnih smetnji smanjenja vida. Vidna oštrina na oba oka bila je 1,0 određena po Snellenu, intraokularni pritisak 12mmHg. Refraktometrija je pokazala ROD +1,50 DSph/ +0,25DCyl (103°), ROS +1,50DSph / +0,50DCyl (38°). Pregledom na biomikroskopu viđena je obostrana opalescencija u prostoru staklastog tela iza providnog sočiva. Pregled očnog dna pokazao je da su obe papile vidnog živca velike i sa velikim centralnim kolobomom. Takođe je uočena a. hyaloidea persistens, koja polazi sa optičkog diska, okružena primarnim vitreusom na prednjem kraju, vidljivim kao zamućenje staklastog tela iza sočiva. B-scan je potvrdio ehogeno vidljivu linearnu strukturu srednje do više reflektivnosti u zadnjem delu staklastog tela koja polazi sa papile vidnog živca i proteže se ka sočivu (a. hyaloidea persistens). Dodatno je urađena fluoresceinska angiografija koja je pokazala usporeno i odloženo punjenje uske perzistentne hialoidne arterije. Kompjuterizovana perimetrija je pokazala obostrano proširenje slepe mrlje. Optička koherentna tomografija papile vidnog živca oba oka je pokazala tubularnu strukturu na papili vidnog živca sa hiporeflektivnom unutrašnjosti. Zaključak: Perzistentna hialoidna arterija se mora smatrati mogućim etiološkim faktorom za krvarenja u staklastom telu, naročito kod zdravih, mladih ljudi. Njeno prisustvo mozě da nas upozori na mogucé komplikacije tokom operacije katarakte i drugih hirursǩih intervencija. Ultrazvuk obezbeđuje esencijalne informacije pri postavljanju dijagnoze, određuje prisustvo lezije, njeno pružanje i zahvaćenost retine i glave optičkog diska. U pregled bi trebalo uvrstiti i fluoresceinsku angiografiju i optičku koherentnu tomografiju. Ključne reči: perzistentna hialoidna arterija, kolobom papile, vidni živac, oct, ultrazvuk. Summary:Introduction: Hyaloid artery occurs in the third week of gestation and reaches the lens in the fourth or fifth week of gestation to form the tunica vasculosa lentis. Atrophy of the hyaloid artery usually ends before birth. The existence of the hyaloid artery with the active blood flow is rare, especially if bilateral. There are several reports about vitreous hemorrhages (spontaneous and traumatic) and tractional retinal detachments that are associated with persistent hyaloid artery. Patient and Methods: A male patient, aging 25, reported to an ophthalmologist because of subjective complaints of visual impairment. Visual acuity in both eyes was 1.0 determined by Snellen, intraocu...

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Vitreous haemorrhage and other ocular complications of a persistent hyaloid artery

Cited by 21 publications

References 4 publications

OCT Angiography of Persistent Hyaloid Artery: A case report

OCT Angiography of Persistent Hyaloid Artery: A case report

Intraocular sarcoma associated with lens capsule rupture and persistent hyperplastic primary vitreous in a dog

Bilateral persistent hyaloid artery in the adult patient

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