Results of treatment of persistent hyperplastic primary vitreous.
The records of 48 patients with persistent hyperplastic primary vitreous (PHPV) were reviewed. Approximately 17% had vision of 20/100 or better after surgery, contact lens fitting, and amblyopia therapy. Only eyes with a purely anterior presentation had successful visual outcomes. Lensectomy alone prevented glaucoma, but a membranectomy as well was required to ensure a successful visual result. Eyes with a posterior PHPV had poor visual results because of posterior pole abnormalities. I recommend that an attempt be made to visually salvage eyes with an anterior presentation. Eyes with a posterior or a combination anterior-posterior PHPV can be successfully treated for glaucoma, but the visual results will be poor.
Pollard
Z F
ZF
Section of Ophthalmology, Scottish Rite Children's Hospital, Atlanta, Ga.
D000550:Amblyopia / Q000628:therapy; D002387:Cataract Extraction; D002675:Child, Preschool; D003261:Contact Lenses; D005128:Eye Diseases / Q000601:surgery; D005260:Female; D005901:Glaucoma / Q000517:prevention & control / Q000601:surgery; D006801:Humans; D006965:Hyperplasia; D007223:Infant; D007231:Infant, Newborn; D007429:Intraocular Pressure; D007908:Lens, Crystalline / Q000601:surgery; D008297:Male; D011379:Prognosis; D014792:Visual Acuity; D014821:Vitrectomy; D014822:Vitreous Body / Q000473:pathology / Q000601:surgery*