Choroidal Neovascularization in Peripapillary Persistent Fetal Vasculature Syndrome: A Possible Sequela of Nonsurgical Management.

Persistent fetal vasculature (PFV) refers to a spectrum of developmental ocular anomalies due to incomplete regression of embryonic vasculature. PFV may present with a wide range of manifestations and visual consequences. We report a rare manifestation of PFV wherein an exudative choroidal neovascular membrane formed in association with the posterior origin of the fibrovascular stalk. While most PFV stalks arise from the optic disc, the stalk in this case originated away from the disc in the inferonasal peripapillary area and had not undergone surgical transection. The patient was treated with intravitreal anti-vascular endothelial growth factor injections with sustained improvement in vision and exudation.