title: Ophthalmic Doppler in persistent hyperplastic primary vitreous atypical presentation: case report.
abstract: The purpose is to document a case of persistent hiperplastic primary vitreous (PHPV) with atypical Bergmeister's papilla and patent hialoid artery that had its conclusive diagnosis done by doppler ultrasound. We report a case of child, who had unilateral leucokoria. This child's fundoscopic examination showed a white mass on the optic nerve that extended over to adjacent retina. Performed ultrasound that remained a doubt with the following diagnostic hypotheses: persistent hiperplastic primary vitreous, granuloma (toxocara), astrocytic hamartoma and retinoblastoma. The diagnosis was only established when the doppler ultrasound showed a blood flow inside of the membrane, thus confirming the diagnosis of persistent hiperplastic primary vitreous associated with the Bergmeister'spapilla.
authors.affiliation: Department of Ophthalmology and Visual Sciences, Paulista School of Medicine, Universidade Federal de São Paulo, São Paulo, SP, BR.
authors.forename: Maira Saad de Avila
authors.initials: MS
authors.lastname: Morales
authors.affiliation: Department of Ophthalmology and Visual Sciences, Paulista School of Medicine, Universidade Federal de São Paulo, São Paulo, SP, BR.
authors.forename: Márcia Beatriz
authors.initials: MB
authors.lastname: Tartarella
authors.affiliation: Department of Ophthalmology and Visual Sciences, Paulista School of Medicine, Universidade Federal de São Paulo, São Paulo, SP, BR.
authors.forename: Enéias Bezerra
authors.initials: EB
authors.lastname: Gouveia
authors.affiliation: Department of Ophthalmology and Visual Sciences, Paulista School of Medicine, Universidade Federal de São Paulo, São Paulo, SP, BR.
authors.forename: Maria Helena
authors.initials: MH
authors.lastname: Mandello
authors.affiliation: Department of Ophthalmology and Visual Sciences, Paulista School of Medicine, Universidade Federal de São Paulo, São Paulo, SP, BR.
authors.forename: Norma
authors.initials: N
authors.lastname: Allemann
mesh_terms: D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007223:Infant; D009898:Optic Disk / Q000000981:diagnostic imaging / Q000473:pathology; D054514:Persistent Hyperplastic Primary Vitreous / Q000000981:diagnostic imaging* / Q000473:pathology; D018615:Ultrasonography, Doppler, Color / Q000379:methods; D014822:Vitreous Body / Q000000981:diagnostic imaging / Q000473:pathology