Eye Hospital, Wenzhou Medical College, Wenzhou, Zhejiang, China.
J Cataract Refract Surg. 2010 Aug;36(8):1421-6. doi: 10.1016/j.jcrs.2010.02.011.
A 23-year-old man presented with bilateral persistent fetal vasculature (PFV). Examination revealed bilateral cataracts, lens subluxation, elongated ciliary processes, and persistent hyaloid vessel remnants with mild posterior segment involvement. Extracapsular cataract extraction combined with posterior capsulectomy and anterior vitrectomy was performed in the right eye; lensectomy, posterior capsulectomy, anterior vitrectomy, superior peripheral iridectomy, and anterior chamber intraocular lens implantation were performed in the left eye. Postoperatively, the corrected distance visual acuity improved (20/100 in the right eye and 20/40 in the left eye) and the cosmetic appearance was satisfactory. This case shows that in rare cases of bilateral PFV, the natural course can be benign, with functional, although amblyopic, vision. In selected cases, late surgical intervention can improve vision and cosmetic appearance.
No author has a financial or proprietary interest in any material or method mentioned.
译文：
患者男，23 岁，双眼持续性胎儿血管（PFV）。检查发现双眼白内障、晶状体半脱位、睫状突细长、永存原始玻璃体血管残膜伴轻微后节受累。右眼行超声乳化白内障吸除联合后囊膜切除术和前段玻璃体切除术；左眼行晶状体切除术、后囊膜切除术、前段玻璃体切除术、上方周边虹膜切除术和前房人工晶状体植入术。术后矫正视力提高（右眼 20/100，左眼 20/40），美容效果满意。该病例表明，在罕见的双侧 PFV 情况下，自然病程可能为良性，视力虽然弱视但具有功能性。在选择的病例中，晚期手术干预可以提高视力和美容效果。
披露：
没有作者在提到的任何材料或方法上有财务或所有权利益。
