Intriguing Vitreal Papillary Disorders

  • Some unusual vitreal findings anterior to the optic disc are congenital, non-progressive and are found in otherwise normal eyes with normal vision.
  • In contrast, some unusual vitreal findings in front of the disc cause symptoms and are due to vitreal-papillary traction while others are due to disc neovascularization.
  • Persistent Fetal Vasculature (PFV) is now considered the preferred term for congenital findings ranging from opacification within Cloquet canal to Bergmeister’s papilla to a Mittendorf dot on the posterior lens surface.1
  • We begin with an unusual case of Prepapillary Vascular Loops that presented as an obvious intra-vitreal vascular loop in one eye but an apparent prepapillary hemorrhage in the other.