RESUMO
CASO CLÍNICO: Presentamos un caso clínico de una neonata de 4 semanas con anomalía de Peters (PA, por sus siglas en inglés) y persistencia de vasculatura fetal unilateral (PFV, por sus siglas en inglés), remitida a nuestro servicio con el diagnóstico de esotropia. A las 12 semanas de vida se realizó una queratoplastia penetrante y vitrectomía, sin complicaciones relevantes en el postoperatorio inmediato. Actualmente la paciente se encuentra bajo tratamiento intensivo de ambliopía y glaucoma secundario. Discusión: El tratamiento quirúrgico de la PFV es controvertido, siendo la prevención de ambliopía, phthisis y glaucoma las principales razones que lo motivan. Los pacientes afectos de PFV unilateral y PA tipo II, podrían ser buenos candidatos para un procedimiento quirúrgico combinado como el descrito
CASE REPORT: A case is presented of a 4 week-old female neonate with Peters anomaly (PA) and unilateral persistent foetal vasculature (PFV) referred to our centre due to esotropia. At 12 weeks of age, a penetrating keratoplasty and vitrectomy were performed without major complications in the immediate post-operative period. The patient is currently under an intensive treatment for amblyopia and secondary glaucoma. Discussion: Surgical treatment of PFV is controversial, with prevention of amblyopia, phthisis, and glaucoma being the main reasons for it. Patients with unilateral PFV and type II PA could be good candidates for this combined surgical procedure
Assuntos
Humanos , Feminino , Recém-Nascido , Síndrome da Persistência do Padrão de Circulação Fetal/complicações , Segmento Anterior do Olho/anormalidades , Ceratoplastia Penetrante , Vitrectomia , Glaucoma/terapia , Ambliopia/terapiaRESUMO
CASE REPORT: A case is presented of a 4 week-old female neonate with Peters anomaly (PA) and unilateral persistent foetal vasculature (PFV) referred to our centre due to esotropia. At 12 weeks of age, a penetrating keratoplasty and vitrectomy were performed without major complications in the immediate post-operative period. The patient is currently under an intensive treatment for amblyopia and secondary glaucoma. DISCUSSION: Surgical treatment of PFV is controversial, with prevention of amblyopia, phthisis, and glaucoma being the main reasons for it. Patients with unilateral PFV and type II PA could be good candidates for this combined surgical procedure.