To report a rare case of anterior persistent fetal vasculature (PFV) associated with lenticular coloboma.
Approach:
Case Presentation: A 23-year-old female with poor vision since childhood underwent a detailed ocular examination, including AS-OCT, which revealed a localized central posterior subcapsular opacity in the lens, a fibrous stalk on the central posterior capsule extending to the vitreous cavity, elongated ciliary processes on the nasal area, and a crescent-shaped lens defect with a zonular defect observed at the nasal equatorial region.
Key Findings:
The patient exhibited a localized central posterior subcapsular opacity, a fibrous stalk, elongated ciliary processes, and a zonular defect, all indicative of anterior PFV and lens coloboma as visualized by AS-OCT.
Interpretation:
This case illustrates the diagnostic capabilities of AS-OCT in identifying anterior PFV and the complexities involved in managing such cases.
Limitations:
The study is based on a single case report, limiting generalizability.
Long-term outcomes of the surgical intervention were not discussed.
Conclusion:
This case illustrates the rare coexistence of PFV and lens coloboma, emphasizing the role of advanced imaging techniques in diagnosis.
The key is execution, understanding the clinical landscape, controlling device cost, engineering the intraoperative workflow, and scheduling/staffing with intention.
