The Outcome of Manual Small Incision Cataract Surgery and Anterior Vitrectomy for Persistent Fetal Vasculature in an 18-Year-Old Woman: A One-Year Follow

AI Generated Summary*

A case report from Nigeria describes an 18-year-old woman with lifelong left leukocoria and squint associated with combined anterior and posterior persistent fetal vasculature. Left acuity was 6/60 without refractive improvement, exotropia measured 45 prism diopters, and ultrasound showed a 15.6 mm stalk between retina and posterior lens capsule without Doppler flow. Surgery comprised manual small incision cataract extraction, posterior capsulotomy around the Mittendorf dot, stalk excision, anterior vitrectomy, and a sulcus-fixated 20.00 D rigid PMMA lens. Over one year, acuity held at 6/60 unaided and 6/36 with pinhole despite patching, exotropia fell to 30 prism diopters, leukocoria cleared, retinal traction was relieved, and intraocular pressure stayed normal. The author deems the approach viable and favors early intervention.

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