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).
Sundararajan M, Jansen ME, Gupta M. Unilateral Persistence of the Hyaloid Artery Causing Vitreopapillary and Vitreomacular Traction. JAMA Ophthalmol. 2018;136(5):e180221. doi:10.1001/jamaophthalmol.2018.0221
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