Multimodal imaging in persistent fetal vasculature

• Published in: Acta ophthalmologica (Oxford, England) Vol. 100; no. S275
• Main Authors: Gouider, Dhouha, Sayadi, Jihene, Choura, Racem, Raihan, Haythem, Mekni, Manel, Aidi, Nourhene, Zeghal, Imene, Malek, Ines, Nacef, Leila
• Format: Journal Article
• Language: English
• Published: Malden Wiley Subscription Services, Inc 01-12-2022
• Subjects: Atrophy; Fetuses; Retina; Retinal degeneration; Vascular system
• ISSN: 1755-375X; 1755-3768
• DOI: 10.1111/j.1755-3768.2022.0706

Purpose: To describe the clinical manifestations of the persistence of the fetal vascular system and to show multimodal imaging findings in this disease.
Methods: We presented two cases of persistent fetal vasculature. Thorough clinical examination and full multimodal imaging have been undertaken.
Results: The first case is a 12‐year‐old girl who consulted for a visual impairment evolving for few years. Fundoscopy revealed a unilateral whitish vascular membrane attached to the optic disc towards the vitreous associated with retinal folds in interpapillomacular region as well as chorio‐retinal atrophy and nasal pigment migrations. B‐mode ultrasonography confirmed the presence of this membrane attached to the optic disc but does not reach the lens. Optical coherence tomography (OCT) showed a deficit of RNFL, especially in superotemporal and hyaloid condensation in the optic disc with macular folds. The second case is a 42‐year‐old patient who consulted for a presbyopia. Fundoscopy revealed membranous short band‐like lesion attached to the optic disc associated with retinal folds, better seen in the anerythral photograph which showed an alternation of grey and white bands.
Conclusions: Multimodal imaging is of a paramount importance in diagnosing the fetal vascular system. It also allows the recognition of the form of this disease and thus the way to manage it.