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No evidence of inflammation No evidence of ischemia No evidence of any vascular disorder This is a case of persistent Hyalod Artery Now if the Anterior end is persistent we call it Mittendorf dor And if it’s only present around the disc it’s known as bergmiesters papilla Hyaloid artery can sometimes be patent and can have blood Which can lead to vitreous haemorrhage and even traction For exam and conference purpose you would like to see if the artery is patent by doing an angiography Otherwise you can just observe if it’s asymptomatic Clinical Peanuts in Ophthalmology 🥜 PFV can have many presentations So whenever you see a stalk originating from disc You have to see whether it’s unilateral or bilateral Also you could do a FFA if other eye is normal to rule out peripheral ischemia to rule out FEVr and ROP It’s very important to trace the fibrous band If the anterior end is on retina then it could be a toxocara or even traumatic If the anterior end is on the lens then it’s fits with Persitent Fetal vascularise or PHPV PFV is mostly unilateral Hypermetropia and short axial length may again be pointers towards PFV So it’s a thin structure which is extending from the disc .. it’s mobile