Zerkaoui Nouha, Laghmari Amina
Université Mohammed V Souissi, Service d'Ophtalmologie A de l'Hôpital des Spécialités de Rabat, Centre Hospitalier Universitaire Rabat, Maroc.
Pan Afr Med J. 2018 Apr 23;29:222. doi: 10.11604/pamj.2018.29.222.14297. eCollection 2018.
After birth, remnants of pupillary membrane which constitute the vascular supply to the crystalline lens can persist. These are contiguous to the iris collarette causing possible deprivation amblyopia by obstructing the pupillary area. We here report the case of a 4-year-old child, born to consanguineous parents, presenting with bilateral persistent pupillary membrane associated with high myopia. Clinical examination showed bilateral remnants of pupillary membrane, intact iris sphincter and diffuse chorioretinal atrophy in the fundus of eye . Visual acuity was difficult to assess. On the other hand, refraction test showed high myopia RE -10.75 (-3.25, 29°) LE -10 (-0.75, 180°). Treatment of bilateral persistent pupillary membrane is based on mydriatic agents, surgical excision or laser destruction. We opted for the use of mydriatic agents with total optical correction and amblyopia treatment.
出生后，构成晶状体血管供应的瞳孔膜残余可能会持续存在。这些残余与虹膜小环相邻，可能通过阻塞瞳孔区域导致剥夺性弱视。我们在此报告一例4岁儿童，其父母为近亲结婚，患有双侧持续性瞳孔膜并伴有高度近视。临床检查显示双侧瞳孔膜残余、虹膜括约肌完整以及眼底弥漫性脉络膜视网膜萎缩。视力难以评估。另一方面，验光检查显示右眼高度近视-10.75（-3.25，29°），左眼-10（-0.75，180°）。双侧持续性瞳孔膜的治疗基于散瞳剂、手术切除或激光破坏。我们选择使用散瞳剂并进行完全光学矫正和弱视治疗。
