The parents of a 7 year old child noticed facial asymmetry since birth. Seeking medical advice, the child was diagnosed as having left facial hypoplasia. U/S done at the age of 3 months gave the diagnosis of left PHPV (persistent hyperplastic primary vitreous). No intervention was done since then. Recently the parents came seeking ophthalmic advice aiming to achieve improvement of visual acuity in the left eye.
Color photo shows a well-defined whitish lesion in front of the disc with ghost vessels along the upper arcade. Another ill-defined whitish lesion was detected in front of the previously described one occupying the posterior vitreous compartment. The macular area could not be evaluated due to uncooperative patient. 
U/S shows a lesion arrising from the optic disc that has a highly echogenic surface and heterogenous internal echogenicity.
U/S examination of the nasal retina showing moderately echogenic band extending from the retina to the ora serrata.
