True statements about PHPV:: (A) Visual prognosis is good, (B) Generally unilateral, (C) Associated with microphthalmia, (D) Associated with exophthalmos
Answer is C. PHPV - persistent hyperplastic primary vitreous Always unilateral Feature = leukocoria Microphthalmia Traction retinal detachment Congenital cataract d/d - other cause of leukocoria :retinoblastoma, congenital cataract Rx - only goal to is to save eye & maintain existing visual activity Sx - pars plana lensectomy + excision of membrane with ant vitrectomy