Surgical management of the lens and retrolenticular fibrotic membranes associated with persistent fetal vasculature

J Cataract Refract Surg. 2002 May;28(5):816-20. doi: 10.1016/s0886-3350(01)01173-7.


Purpose: To evaluate a surgical technique that allows safe, effective, near-total removal of retrolenticular fibrotic membranes in eyes with persistent fetal vasculature syndrome (PFVS).

Setting: Pediatric ophthalmologist's academic practice.

Methods: This retrospective review comprised 5 children (6 eyes) who had excision of a retrolenticular fibrovascular membrane during cataract surgery over a 6-month period. Long, spoke-like radial incisions of the membrane were made to the ciliary processes, resulting in wedge-shaped segmentation of the membrane. A vitrector was used to excise each wedge and perform an anterior vitrectomy.

Results: The mean age at time of surgery was 8 months (range 1 to 24 months) and the mean follow-up, 9 months (range 2 to 13 months). The membrane was successfully removed in all eyes. One eye of a patient who did not comply with the postoperative medical regimen or follow-up developed pupillary block glaucoma requiring pupilloplasty and trabeculectomy.

Conclusion: This anterior surgical technique to remove tenacious retrolenticular membranes associated with PFVS was effective, allowing near-total removal of the offending fibrovascular membrane.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Capsulorhexis / methods
  • Cataract / congenital*
  • Cataract Extraction
  • Child, Preschool
  • Eye Abnormalities / complications
  • Eye Abnormalities / surgery*
  • Female
  • Fetus / blood supply
  • Fibrosis
  • Humans
  • Infant
  • Lens, Crystalline / pathology*
  • Male
  • Membranes / surgery
  • Retrospective Studies
  • Vitrectomy
  • Vitreous Body / abnormalities*
  • Vitreous Body / blood supply*