Vitreoretinal Dysplasia Masquerading as Peters’ Anomaly

Author:

Martinet Virginie1,Dureau Pascal1,Bergès Olivier1,Caputo Georges1

Affiliation:

1. Paediatric Ophthalmology Department, Fondation Ophtalmologique Adolphe de Rothschild, Paris - France

Abstract

Purpose Vitreoretinal dysplasia is characterized by a congenital bilateral nonattachment of the retina. In some cases, anteroposition of the iris and lens can lead to corneolenticular contact and corneal opacity, masquerading as Peters’ anomaly. We report 3 cases of vitreoretinal dysplasia initially diagnosed as Peters’ anomaly. Methods Case report. Results Case 1: In a 3-year-old boy with bilateral corneal opacities, high frequency ultrasound showed iridolenticular adherences as in Peters’ anomaly, but color Doppler imaging of the posterior pole revealed a bilateral total retinal detachment. Case 2: In an 18-month-old boy with bilateral corneal opacity and dense cataract, ultrasound revealed a shallow anterior chamber and bilateral vitreous hemorrhage with retinal detachment. Case 3: In a 6-month-old girl with bilateral central corneal opacity, shallow anterior chamber, iridocorneal synechiae, and a cataract, ultrasound revealed a total retinal detachment in the right eye, and was uncertain in the left eye. Corneal transplantation was attempted in the left eye, but a retinal detachment was discovered peroperatively There were associated central nervous system anomalies. Conclusions Vitreoretinal dysplasia is a potentially evolving disease and can lead to anterior chamber thinning, corneal opacity, and secondary glaucoma. Anterior and posterior segment ultrasound is essential to fix the correct diagnosis and prognosis.

Publisher

SAGE Publications

Subject

Ophthalmology,General Medicine

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