Bilateral persistent pupillary membrane and high myopia

Nouha Zerkaoui,Amina Laghmari

doi:10.11604/pamj.2018.29.222.14297

Abstract

After birth, remnants of pupillary membrane which constitute the vascular supply to the crystalline lens can persist. These are contiguous to the iris collarette causing possible deprivation amblyopia by obstructing the pupillary area. We here report the case of a 4-year-old child, born to consanguineous parents, presenting with bilateral persistent pupillary membrane associated with high myopia. Clinical examination showed bilateral remnants of pupillary membrane, intact iris sphincter and diffuse chorioretinal atrophy in the fundus of eye . Visual acuity was difficult to assess. On the other hand, refraction test showed high myopia RE -10.75 (-3.25, 29°) LE -10 (-0.75, 180°). Treatment of bilateral persistent pupillary membrane is based on mydriatic agents, surgical excision or laser destruction. We opted for the use of mydriatic agents with total optical correction and amblyopia treatment.

Highlights

After birth, remnants of pupillary membrane which constitute the vascular supply to the crystalline lens can persist
Remnants of pupillary membrane which constitute the vascular supply to the crystalline lens can persist. These are contiguous to the iris collarette causing possible deprivation amblyopia by obstructing the pupillary area
We here report the case of a 4-year-old child, born to consanguineous parents, presenting with bilateral persistent pupillary membrane associated with high myopia

Summary

Introduction

Remnants of pupillary membrane which constitute the vascular supply to the crystalline lens can persist. Persistance de la membrane pupillaire bilatérale et forte myopie Bilateral persistent pupillary membrane and high myopia Nouha Zerkaoui1,&, Amina Laghmari1 1Université Mohammed V Souissi, Service d’Ophtalmologie A de l’Hôpital des Spécialités de Rabat, Centre Hospitalier Universitaire Rabat, Maroc &Corresponding author: Nouha Zerkaoui, Université Mohammed V Souissi, Service d’Ophtalmologie A de l’Hôpital des Spécialités de Rabat, Centre Hospitalier Universitaire Rabat, Maroc Mots clés: Persistance de la membrane pupillaire, forte myopie, amblyopie, agent mydriatique Received: 31/10/2017 - Accepted: 20/12/2017 - Published: 23/04/2018

Results

Conclusion