Gokcen Deniz Gulpinar Ikiz » Miscellaneous

Jul 27 2024 by Gokcen Deniz Gulpinar Ikiz

7 Year old girl presented with blurred vision on the left eye, with intermittent esotopia. She had been followed conservatively for intermittent esotropia on the left eye, recently advised for patching of the right eye. The vision is 1.0 on the right eye and 0.4 (Snellen) on the left eye. Anterior segment is natural bilaterally, except 20 PD esotropia on the left eye, with alternation and fixation. Refraction was +0.25 +0.25 x180 and +1.00-1.50 x60 on the right and left eyes respectively. Dilated fundus examination was natural on the right eye. However, there was a fibrotic stalk originating from the optic nerve head extending to the vitreous, terminating in the middle of the vitreous cavity, in a spider web configuration. Which also causes nasal dragging of the macula, leading to partial shallow detachment of the fovea nasally. Vitrectomy is advised for the left eye, with lens preserving approach, to preserve the current functional potential and the anatomy of the globe in long term.

Photographer: Gokcen Deniz Gulpinar Ikiz, Special Eye Clinic

Condition/keywords: amblyopia, posterior PFV, vitrectomy