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Ophthalmic Images
May 10, 2018

Unilateral Persistence of the Hyaloid Artery Causing Vitreopapillary and Vitreomacular Traction

Author Affiliations
  • 1Retina Service, Department of Ophthalmology, New York Eye and Ear Infirmary of Mount Sinai, New York
JAMA Ophthalmol. 2018;136(5):e180221. doi:10.1001/jamaophthalmol.2018.0221

A man in his mid-20s with unremarkable medical and ocular history presented with long-standing subjectively decreased vision in the left eye relative to the right eye. Best-corrected visual acuity was 20/30 OS compared with 20/20 OD. Slitlamp examination revealed the persistence of the hyaloid artery in its complete form in the left eye with remnants extending from the optic nerve to the retrolental face. Lenticular involvement was notable for a small posterior polar cataract. Mild vitreopapillary and vitreomacular traction produced retinal striae along the nasal aspect of the macula (Figure).

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