Abstract
Persistent pupillary membranes are a common congenital anomaly that usually resolves spontaneously in early infancy. However, bilateral extensive persistent pupillary membranes that entirely obscure the pupils, involve the visual axis, and adhere firmly to the lens are rarely reported. This report presents a rare case of bilateral extensive persistent pupillary membranes in a young child, resulting in severe visual axis obstruction and firm adhesion to the anterior lens capsule. Surgical removal led to a substantial improvement in visual acuity without complications. This case highlights the importance of early diagnosis and timely surgical intervention to restore vision and prevent long-term complications such as deprivation amblyopia.