Tunica Vasculosa Lentis

Although they are commonly observed, remnants of the tunica vasculosa lentis and hyaloid artery are not visually significant. Mittendorf dot, an anterior remnant, is a small, dense, and white round plaque attached to the posterior lens capsule nasally and inferiorly to its posterior pole. A prepapillary remnant known as Bergmeister papilla is a fibroglial tuft of tissue extending into the vitreous for a short distance at the margin of the optic nerve head. The entire hyaloid artery may persist from optic nerve head to lens as multilayered fenestrated sheaths forming the Cloquet canal.

Figure 17-9 Color fundus photograph of a prepapillary vascular loop.

(Courtesy of M. Gilbert Grand, MD.)

Excerpted from BCSC 2020-2021 series: Section 10 - Glaucoma. For more information and to purchase the entire series, please visit https://www.aao.org/bcsc.