Widespread retinal hemorrhages after retinopathy of prematurity screening with scleral depression.
Publication/Presentation Date
12-1-2011
Abstract
We report a case of extensive bilateral intraretinal hemorrhages in a premature infant with active retinopathy of prematurity (ROP) after an examination with scleral depression. In the only other previously reported case, the retinal hemorrhages were limited to the posterior pole of an eye with preexisting vitreous hemorrhage, and the child had a history of severe necrotizing enterocolitis that required surgery. Investigators have hypothesized that the combination of ocular manipulation, abrupt intraocular pressure change, and fragile immature retinal vasculature with poor autoregulation may contribute to the pathogenesis of retinal hemorrhages. Physicians performing ROP examinations should be aware of this possibility and judiciously use scleral depression; however, examination-induced retinal hemorrhages in children have never been reported in the absence of active ROP.
Volume
15
Issue
6
First Page
609
Last Page
611
ISSN
1528-3933
Published In/Presented At
Jensen, A. K., Forbes, B. J., Wilson, L. B., Prieto, D., & Binenbaum, G. (2011). Widespread retinal hemorrhages after retinopathy of prematurity screening with scleral depression. Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus, 15(6), 609–611. https://doi.org/10.1016/j.jaapos.2011.07.014
Disciplines
Medicine and Health Sciences | Pediatrics
PubMedID
22153413
Department(s)
Department of Pediatrics
Document Type
Article