Bilateral Persistent Pupillary Membrane: Bilateral Obturating Form

Persistence of the pupillary membrane (PPM) is a congenital pathology characterized by the persistence of Tunica vasculosa lentis anterior, which normally resolves during the third trimester by the apoptotic phenomena.

We report the case of a girl referred for an esotropia, at the ophthalmologic examination we found a dense bilateral pupillary membrane blocking the visual axis, Surgical resection of the pupillary membrane is the technique of choice in thick pupillary membranes that completely cover the visual axis, because of the major risk of amblyopia.