J Korean Radiol Soc.
1994 Jun;30(6):1141-1146.
CT and MR Findings of Persistent Hyperplastic Primary Vitreous(PH PV)
Abstract
- PURPOSE
The purpose of this paper is to discuss the characteristic CT and MR findings in persistent
hyperplastic primary vitreous(PHPV) and to compare the detectability of those findings in each modality.
MATERIALS AND METHODS
We retrospectively evaluated CT and MR findings in 32 patients with PHPV.
Twenty-five patients had CT, 13 patients had MR, and 6 patients had both CT and MR.
RESULTS
Major findings of PHPV in 32 patients on both imaging modalities were lens deformity(78%),
shallow anterior chamber(72%), heterogeneous vitreous opacity(72%), enhancing hyaloid artery or remnant of
fibrotic hand(69%), and microophthalmos(67%). Minor findings were retinal detachment(22%), and vitreous
hemorrhage(6%). In MRI, lens deformity(92%) and shallow anterior chamber(85%) were detected most
commonly whereas in CT, opaque vitreous(80%) was the most common finding. Findings of enhancing hyaloid
vessel or remnant of fibrotic band, considered characteristic of PHPV, were more commonly detectable in MR
(85%) than CT(52%).
CONCLUSION
Characteristic MR and CT findings of PHPV were lena deformity, shallow anterior chanber,
heterogeneons vitreons opacity, enhanciny hgalind artery or remnant fibrotic band, and microphthalmos. MR
seemed to be more useful than CT in detecting Globe pathology.