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Case Reports in Ophthalmological Medicine
Volume 2014, Article ID 581273, 6 pages
Case Report

Bilateral Persistent Pupillary Membrane with Tetralogy of Fallot: A Case Report and Review of the Literature

1Clinic of Ophthalmology, Fatih Sultan Mehmet Education and Research Hospital, 34752 Istanbul, Turkey
2Clinic of Ophthalmology, Prof. Dr. N. Resat Belger Beyoglu Eye Education and Research Hospital, 34421 Istanbul, Turkey
3Clinic of Ophthalmology, Umraniye Education and Research Hospital, 34764 Istanbul, Turkey
4Department of Pediatrics, Yeditepe University, 34752 Istanbul, Turkey
5Clinic of Ophthalmology, Erzurum Region Education and Research Hospital, 25240 Erzurum, Turkey

Received 18 June 2014; Accepted 21 July 2014; Published 24 July 2014

Academic Editor: Maurizio Battaglia Parodi

Copyright © 2014 A. Altun et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Case Report. A 15-year-old boy presented to the Fatih Sultan Mehmet Education and Research Hospital with the complain of bilateral vision blurring associated with severe glare and photophobia. On ophthalmological examination, uncorrected visual acuity was 20/200 in the right eye and 20/100 in the left eye, and there was no improvement with pinhole testing. The slit-lamp examination showed persistent pupillary membranes (PPM) in both eyes. According to the history obtained from his parents, he had received cardiac surgery for tetralogy of Fallot (TOF) 8 years ago. Conclusion. This patient is unique because this is the first reported case of bilateral PPM with congenital heart anomaly in the literature. Bilaterality of the eye anomaly strengthens the possibility of an uncommon association between PPM and TOF, rather than local failure in embryonic development.