Surgical technique for removing congenital fibrovascular pupillary membrane, with clinicopathological correlation
Congenital fibrovascular pupillary membrane, rare in newborns, poses challenges for the ophthalmic surgeon. Predicting its clinical course is difficult, as is removing the membrane surgically without inducing a cataract. We describe a 22-day-old girl who presented with a pupillary membrane causing p...
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| Veröffentlicht in: | Journal of AAPOS 2009-12, Vol.13 (6), p.618-620 |
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| creator | Kesarwani, Siddharth, MS Murthy, Ramesh, MD, FRCS Vemuganti, Geeta K., MD, FNAMS |
| description | Congenital fibrovascular pupillary membrane, rare in newborns, poses challenges for the ophthalmic surgeon. Predicting its clinical course is difficult, as is removing the membrane surgically without inducing a cataract. We describe a 22-day-old girl who presented with a pupillary membrane causing progressive decrease in the size of the dilated pupil, necessitating removal at 4 months of age. Histopathology demonstrated tissue of embryonic muscle origin, suggesting that the membrane was more likely a remnant of fetal iris than of fetal vasculature. The smooth muscle or fibroblastic elements in the tissue explains progressive contracture of the membrane. |
| doi_str_mv | 10.1016/j.jaapos.2009.09.010 |
| format | Article |
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Predicting its clinical course is difficult, as is removing the membrane surgically without inducing a cataract. We describe a 22-day-old girl who presented with a pupillary membrane causing progressive decrease in the size of the dilated pupil, necessitating removal at 4 months of age. Histopathology demonstrated tissue of embryonic muscle origin, suggesting that the membrane was more likely a remnant of fetal iris than of fetal vasculature. 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The smooth muscle or fibroblastic elements in the tissue explains progressive contracture of the membrane.</description><subject>Female</subject><subject>Fibrosis</subject><subject>Humans</subject><subject>Infant, Newborn</subject><subject>Iris - blood supply</subject><subject>Membranes - pathology</subject><subject>Muscle, Smooth, Vascular - pathology</subject><subject>Ophthalmologic Surgical Procedures</subject><subject>Ophthalmology</subject><subject>Pupil Disorders - congenital</subject><subject>Pupil Disorders - diagnosis</subject><subject>Pupil Disorders - surgery</subject><issn>1091-8531</issn><issn>1528-3933</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFUcFu1TAQtBCIlsIfIJQbF_Lwxi9OfEFCFS1IlTi0lbhZzmbznkNip3byUP8eRykcuCCttHOYnd2ZZewt8B1wkB_7XW_M5OOu4Fzt1gL-jJ1DWdS5UEI8T5gryOtSwBl7FWPPOZcK4CU7K1ZYC3HOHm6XcLBohmwmPDr7sFDW-ZAFGv3JukOG3h3I2TkxOtsEfzIRl8GEbFomOyTwmI00NsE4-pD9svMxw8E6i34y89EPfhNHHwINZrbevWYvOjNEevPUL9j91Ze7y6_5zffrb5efb3Lcg5xz0zUgmxIRKF3bUC2Lsi1KDpUypZSmaYEUStnWXFVUmwo6xKoosGuFaGQlLtj7TXcKPrmKsx5tREonO_JL1JUQUqlyLxNzvzEx-BgDdXoKdkzONHC9Zq17vWWt16z1WsDT2LunBUszUvt36E-4ifBpI1CyebIUdERLDqm1gXDWrbf_2_CvwJatGX7SI8XeL8GlCDXoWGiub9d_r-_minMB6of4DX24qlA</recordid><startdate>20091201</startdate><enddate>20091201</enddate><creator>Kesarwani, Siddharth, MS</creator><creator>Murthy, Ramesh, MD, FRCS</creator><creator>Vemuganti, Geeta K., MD, FNAMS</creator><general>Mosby, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20091201</creationdate><title>Surgical technique for removing congenital fibrovascular pupillary membrane, with clinicopathological correlation</title><author>Kesarwani, Siddharth, MS ; Murthy, Ramesh, MD, FRCS ; Vemuganti, Geeta K., MD, FNAMS</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c416t-afb16b5cc1e200be8625d250179a566abd1e9c66d8097e8a71fcc722cfd33b673</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Female</topic><topic>Fibrosis</topic><topic>Humans</topic><topic>Infant, Newborn</topic><topic>Iris - blood supply</topic><topic>Membranes - pathology</topic><topic>Muscle, Smooth, Vascular - pathology</topic><topic>Ophthalmologic Surgical Procedures</topic><topic>Ophthalmology</topic><topic>Pupil Disorders - congenital</topic><topic>Pupil Disorders - diagnosis</topic><topic>Pupil Disorders - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kesarwani, Siddharth, MS</creatorcontrib><creatorcontrib>Murthy, Ramesh, MD, FRCS</creatorcontrib><creatorcontrib>Vemuganti, Geeta K., MD, FNAMS</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of AAPOS</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kesarwani, Siddharth, MS</au><au>Murthy, Ramesh, MD, FRCS</au><au>Vemuganti, Geeta K., MD, FNAMS</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Surgical technique for removing congenital fibrovascular pupillary membrane, with clinicopathological correlation</atitle><jtitle>Journal of AAPOS</jtitle><addtitle>J AAPOS</addtitle><date>2009-12-01</date><risdate>2009</risdate><volume>13</volume><issue>6</issue><spage>618</spage><epage>620</epage><pages>618-620</pages><issn>1091-8531</issn><eissn>1528-3933</eissn><abstract>Congenital fibrovascular pupillary membrane, rare in newborns, poses challenges for the ophthalmic surgeon. 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| fulltext | fulltext |
| identifier | ISSN: 1091-8531 |
| ispartof | Journal of AAPOS, 2009-12, Vol.13 (6), p.618-620 |
| issn | 1091-8531 1528-3933 |
| language | eng |
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| source | MEDLINE; Elsevier ScienceDirect Journals Complete |
| subjects | Female Fibrosis Humans Infant, Newborn Iris - blood supply Membranes - pathology Muscle, Smooth, Vascular - pathology Ophthalmologic Surgical Procedures Ophthalmology Pupil Disorders - congenital Pupil Disorders - diagnosis Pupil Disorders - surgery |
| title | Surgical technique for removing congenital fibrovascular pupillary membrane, with clinicopathological correlation |
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