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Unilateral leucokoria, combined cataract congenital, and persistent fetal vasculature presentation in a baby

Poster Details

First Author: D.Astaridewi INDONESIA

Co Author(s):    I. Wahyuni                    

Abstract Details


To present a case of leukocoria in a baby with unilateral leukocoria, thus difficulty to distinguish between Persistant Fetal Vasculture (PFV) or Combine Persistent Fetal Vasculature and Congenital Cataract, and discuss further management for this patient


Department of Ophthalmology, Faculty of Medicine Airlangga University, Dr. Soetomo Hospital, Surabaya, Indonesia


A 4 months old boy presented with unilateral leukocoria affecting his left eye since birth. During examination revealed visual acuity 6/480 (lea grating), opaque lens without red reflex and normal B-scan ultrasonography. His unusual laboratory finding was positive IgG Rubella, IgM anti CMV, and IgG anti CMV. No surgical intervention was done and patient was kept on regular follow.


During Examination Under Anesthesia (EUA), intraocular pressure was 14.6 mmHg, cornea vertical diameter was 10 mm and horizontal diameter was 10.5mm, 2 o-clock posterior synechiae, opaque lens with blood vessels. The affected eye show steady progress on visual acuity within 3 months follow up


Combined PFV and Congenital cataract in one unilateral eye is uncommon condition. This case highlights the need of diagnose step to distinguish between PFV, Cataract congenital or combined condition

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