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In June 1998, a 14-year-old Caucasian girl presented at a Detroit-area practice. Visual acuity was 20/400 in her right eye and 20/200 in the left. From the ages of 14 to 20, she underwent multiple ocular procedures in both eyes. Visual acuity varied from 20/60 to hand motion with a final acuity of hand motion in both eyes.
She was diagnosed with familial exudative vitreoretinopathy. FEVR is characterized by retinal zones that fail to develop normal vessels and consequently lead to proliferation of new vessels that may leak or break. Interventions in her right eye included scleral buckle, vitrectomy and membrane peel, peripheral laser ablation, cyclocryotherapy and tube shunt placement for glaucoma, and lensectomy. Procedures in her left eye included scleral buckling, autologous plasmin-enzyme–assisted vitrectomy and membrane peeling, dense-pattern peripheral laser ablation, cyclocryotherapy, lensectomy and excimer laser phototherapeutic keratectomy with chelation.
The patient was stable and 24 years of age at the time of this photograph.
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