Keywords
Retinography
Ultrasonography
Late diagnosis
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Abstract
Objective: To report a case of posterior unilateral Persistent Hyperplastic Primary Vitreous (PHPV) in a child, highlighting the importance of early diagnosis for a better prognosis. Details of the case: A two-year-old male child came to our service led by his mother, reporting that the child was having difficulty seeing. The ophthalmological examination revealed: symmetrical and isophotoreactive pupils, red retinal reflex under binocular mydriasis, preserved in the Left Eye (OS) and leukocoria in the Right Eye (OD). Retinography of the OS without apparent changes, OD retinal folds with a fibrous, opaque, coarse and irregular appearance, covering the entire fundus of the eye and involving the macular region. Invisible central retinal vessels and in the peripheral region are poorly sharp. Ophthalmic ultrasound of the right eye showed echoes of the posterior primary vitreous membrane along the axial axis, visibly adhering to the optic disc. Final considerations: In this study, posterior PHPV was diagnosed in the right eyeball late. The implication of the conduct was expectant due to the evolved condition, in addition to changes in various anatomical structures of the RE. We emphasize the importance of ocular evaluation in newborns, thus avoiding late diagnosis and treatment, reducing future injuries with aesthetic and visual impairment.
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