Vascularised congenital cataract removal

Colby Hart1, James Elder1, John McKenzie1, Evan Heinecke1, Anu Mathew1

Meeting:  2019 RANZCO


Date:      -

Session Title: Cataract

Session Time:      -

Persistent foetal vasculature is a rare congenital disorder characterized by failure of regression of the primary vitreous and hyaloid vasculature. We present a fascinating case of persistent foetal vasculature engulfing the posterior lens capsule of an infant who presented with leukocoria and congenital cataract. This video displays the complex vascular network demonstrated through fluorescein angiography. We also provide footage of the complex surgical technique required to remove the vascularised cataract, including use of intra‐ocular diathermy, vitrector‐based capsulorhexis and intra‐ocular scissors to prevent recurrence and capsular phimosis.