Dr.Shikha Gupta
In children it is imperative to differentiate between physiological and non physiological anterior segment vascularisation to enable timely intervention and prevent sight threatening consequences.
Through clinical photographs taken from children with anterior segment vascularisation, an attempt has been made to elicit clinical signs to enable ophthalmologists to differentiate between persistent vessels of tunica vasculosa lentis on iris and lens, neovascularisation of iris, anterior lenticular neovascularisation, persistent fetal vasculature and posterior capsular neovascularisation. Various clinical scenarios which require sound clinical judgement, for example, differences between premature infant with non regressed tunica vasculosa lentis, aggressive posterior retinopathy of prematurity and neovascularisation of iris are demonstrated. Pathological anterior segment situations like Loch Ness Monster phenomenon and salmon pink patch sign are also demonstrated.
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