title: Surgical technique for removing congenital fibrovascular pupillary membrane, with clinicopathological correlation.
abstract: Congenital fibrovascular pupillary membrane, rare in newborns, poses challenges for the ophthalmic surgeon. Predicting its clinical course is difficult, as is removing the membrane surgically without inducing a cataract. We describe a 22-day-old girl who presented with a pupillary membrane causing progressive decrease in the size of the dilated pupil, necessitating removal at 4 months of age. Histopathology demonstrated tissue of embryonic muscle origin, suggesting that the membrane was more likely a remnant of fetal iris than of fetal vasculature. The smooth muscle or fibroblastic elements in the tissue explains progressive contracture of the membrane.
authors.affiliation: Departments of Pediatric Ophthalmology, Strabismus, and Neuroophthalmology, Miriam Hyman Children's Eye Care Centre, LV Prasad Eye Institute, Patia, Bhubaneswar, India. dr.siddharth@gmail.com
authors.forename: Siddharth
authors.initials: S
authors.lastname: Kesarwani
authors.forename: Ramesh
authors.initials: R
authors.lastname: Murthy
authors.forename: Geeta K
authors.initials: GK
authors.lastname: Vemuganti
mesh_terms: D005260:Female; D005355:Fibrosis; D006801:Humans; D007231:Infant, Newborn; D007498:Iris / Q000098:blood supply*; D008566:Membranes / Q000473:pathology*; D009131:Muscle, Smooth, Vascular / Q000473:pathology*; D013508:Ophthalmologic Surgical Procedures; D011681:Pupil Disorders / Q000151:congenital* / Q000175:diagnosis / Q000601:surgery*