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Ophthalmology General 1887a277

Which one of the following statements, concerning persistent hyperplastic primary vitreous (PHPV) is not true?

A
It is generally unilateral
B
Visual prognosis is usually good
C
It may calcify
D
It is most easily differentiated from retinoblastoma by the presence of exophthalmos or cataract.
High-Yield Explanation
B i.e. Visual prognosis is usually good Persistent Hyperplastic Primary Vitreous (PHPV) It is persistence of the primary viterous & hyaloid aerial system. Almost always unilateralQ (-90%) Presents as white pupillary reflex in the new born (congenital leukocoria)Q It is usually associated with - CataractQ - Glaucoma - Long & extended ciliary processes because of pull from contracted retrolental tissue. - MicrophthalmosQ - Intraocular haemorrhage - Tractional RD Investigations: USG & CT Scan D/D with Retinoblastoma on the basis of microphthalmia & elongated ciliary processes If diagnosed early, T/T is aspiration of lens, excision of retrolental membrane and vitrectomy Visual prognosis is poorQ.

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