DOI: 10.36347/sjmcr.2019.v07i06.001

Pages: 380–381

A 3-week-old full-term girl was noted to have a white opacity in the right pupil. On examination, there was a white membrane attached to the nasal pupillary margin in the right eye. The pupil was not displaced, and there was no any band of fibrous tissue seen attaching to the chamber angle. A diagnosis of congenital pupillary-iris-lens membrane was made. Because the center of the pupil was open, the patient was followed conservatively. At 6 months of age, visual acuity was 20/180 in both eyes, the membrane had not developed new attachments to the pupillary margin. One year after the initial visit, the membrane was unchanged. Early recognition of this condition is vital to enable nonsurgical or surgical management, to abort its progressive course, and to prevent secondary vision-threatening complications such as amblyopia and glaucoma.