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Open Ophthalmol J. 2015 Mar 31;9:33-5. doi: 10.2174/1874364101509010033. eCollection 2015.

LETTER TO THE EDITOR Excision of Congenital Bilateral Persistent Pupillary Membrane in a Child with Exotropia.

The open ophthalmology journal

Michiko Iida, Tatsuya Mimura, Mari Goto, Yuko Kamei, Aki Kondo, Yusuke Saito, Hiroko Okuma, Masao Matsubara

Affiliations

  1. Department of Ophthalmology, Tokyo Women's Medical University Medical Center East, Tokyo, Japan.

PMID: 25926901 PMCID: PMC4406997 DOI: 10.2174/1874364101509010033

Abstract

CASE REPORT: A 7-year-old boy presented with a persistent pupillary membrane in both eyes. His best corrected visual acuity (BCVA) was 20/20 in the right eye and 20/32 in the left eye with exotropia of 18 prism diopters. He underwent surgical resection of both membranes. At 5 months postoperatively, BCVA was 20/20 with final bilateral refraction of +6.5 D in both eyes. Exotropia and photophobia showed improvement immediately after surgery. Histopathological examination revealed typical features of normal iris tissue in the excised membranes.

CONCLUSION: Bilateral persistent pupillary membranes were excised successfully without injury to other ocular tissues, including the crystalline lens. Surgical treatment may be required for the management of persistent pupillary membrane associated with visual impairment such as exotropia or photophobia.

Keywords: Exotropia; histopathological examination; persistent pupillary membrane; surgical excision

References

  1. J Pediatr Ophthalmol Strabismus. 1981 Mar-Apr;18(2):55-60 - PubMed
  2. Ophthalmic Surg Lasers Imaging. 2003 Mar-Apr;34(2):136-9 - PubMed
  3. J AAPOS. 2012 Apr;16(2):201-3 - PubMed
  4. J Cataract Refract Surg. 2012 May;38(5):906-11 - PubMed
  5. J Cataract Refract Surg. 2004 Aug;30(8):1622-5 - PubMed
  6. J Cataract Refract Surg. 2007 Jun;33(6):1123-6 - PubMed
  7. J Cataract Refract Surg. 2008 Mar;34(3):523-4 - PubMed
  8. Clin Exp Optom. 2010 Mar;93(2):100-1 - PubMed
  9. Ophthalmology. 2012 Mar;119(3):634-41 - PubMed
  10. Am J Ophthalmol. 1997 Nov;124(5):587-626 - PubMed

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