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Year : 2020  |  Volume : 58  |  Issue : 1  |  Page : 54

Bilateral spiderweb in the anterior chamber of the eye: Persistent pupillary membrane

Department of Glaucoma Services, Aravind Eye Hospital and Postgraduate Institute of Ophthalmology, Madurai, Tamil Nadu, India

Date of Submission03-Nov-2019
Date of Acceptance18-Nov-2019
Date of Web Publication04-Mar-2020

Correspondence Address:
Dr. Vijayalakshmi A Senthilkumar
Department of Glaucoma, Aravind Eye Hospital, Madurai, Tamil Nadu
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/tjosr.tjosr_101_19

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How to cite this article:
Senthilkumar VA, Tara TD. Bilateral spiderweb in the anterior chamber of the eye: Persistent pupillary membrane. TNOA J Ophthalmic Sci Res 2020;58:54

How to cite this URL:
Senthilkumar VA, Tara TD. Bilateral spiderweb in the anterior chamber of the eye: Persistent pupillary membrane. TNOA J Ophthalmic Sci Res [serial online] 2020 [cited 2020 Jun 1];58:54. Available from: http://www.tnoajosr.com/text.asp?2020/58/1/54/279990

We report the case of a 55-year-old female who presented with bilateral extensive persistent pupillary membrane (PPM) appearing as spiderweb in the anterior chamber on slit-lamp examination [Figure 1]. Best-corrected visual acuity in both eyes were 6/6. Intraocular pressure and fundus evaluation were normal in both the eyes. PPM, a common congenital anomaly seen in 30%–95% of individuals, consists of fine avascular strands of tissue that are variably pigmented extending from iris collarette to collarette. They represent remnants of anterior tunica vasculosa lentis, and regression of tunica vasculosa lentis generally begins from 6th month of gestation, and complete disappearance occurs by 8th month of gestation. When PPM presents after birth, they still continue to regress in the 1st year of life.[1] PPM was rarely associated with amblyopia, cataract, corneal opacity, and spontaneous hyphema.[2] Treatment options available are NdYAG laser and surgical excision of the membrane.[3] As the PPM had no impact on vision of our patient, she has been on follow-up without any intervention.
Figure 1: Slit-lamp photography showing bilateral extensive pupillary membrane in the anterior chamber

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Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

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Conflicts of interest

There are no conflicts of interest.

  References Top

Banigallapati S, Potti S, Marthala H. A rare case of persistent pupillary membrane: Case-based approach and management. Indian J Ophthalmol 2018;66:1480-3.  Back to cited text no. 1
[PUBMED]  [Full text]  
Brusini P, Beltrame G. Spontaneous hyphaema from persistent remnant of the pupillary membrane. A case report. Acta Ophthalmol (Copenh) 1983;61:1099-103.  Back to cited text no. 2
Gupta R, Kumar S, Sonika, Sood S. Laser and surgical management of hyperplastic persistent pupillary membrane. Ophthalmic Surg Lasers Imaging 2003;34:136-9.  Back to cited text no. 3


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