Buphthalmos in the setting of persistent hyperplastic primary vitreous cataract.
OBJECTIVE
To report a case of unilateral persistent hyperplastic primary vitreous cataract presenting with ipsilateral buphthalmos.


METHODS
Retrospective case report.


METHODS
The patient chart was reviewed, and a relevant literature search was performed.


RESULTS
A four-month-old child presented with persistent hyperplastic primary vitreous cataract in the right eye and ipsilateral buphthalmos with no discernable angle abnormalities. He underwent lensectomy, anterior vitrectomy, and limited transscleral diode cyclodestruction in the right eye.


CONCLUSIONS
This appears to be the first report of buphthalmos presenting with unilateral persistent hyperplastic primary vitreous. Despite two comorbidities, the patient has thus far responded well to initial treatment and visual rehabilitation.
Department of Pediatrics, King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia. arif.khan@mssm.edu
Arif Omar
AO
Khan
D000869:Anterior Eye Segment / Q000601:surgery; D002386:Cataract / Q000175:diagnosis* / Q000628:therapy; D002387:Cataract Extraction; D002924:Ciliary Body / Q000601:surgery; D006801:Humans; D006871:Hydrophthalmos / Q000175:diagnosis* / Q000601:surgery; D006965:Hyperplasia; D007223:Infant; D007429:Intraocular Pressure; D008297:Male; D008365:Manometry; D012189:Retrospective Studies; D014821:Vitrectomy; D014822:Vitreous Body / Q000473:pathology* / Q000601:surgery