Leukocoria and vitreous hemorrhage as the initial manifestation of sickle retinopathy in a 3-year, 6-month-old child with sickle trait (AS).
Publication/Presentation Date
10-11-2011
Abstract
The authors present the youngest reported child with proliferative sickle retinopathy. A 3-year, 6-month-old boy presented with leukocoria in the left eye, left esotropia, and dense free-floating white vitreous cells obscuring the fundus, suspicious for endophytic retinoblastoma. Ultrasonography depicted dense debris in the vitreous with no distinct calcific echo or retinal mass. Transcorneal, transzonular fine-needle aspiration biopsy of the vitreous confirmed the presence of dehemoglobinized vitreous red blood cells without tumor. The opposite eye showed peripheral retinal pigment epithelial proliferation and fibrosis with angiographic peripheral ischemia. Hemoglobin electrophoresis disclosed sickle trait (AS). The findings were classified as proliferative sickle cell retinopathy with vitreous hemorrhage in the left eye and non-proliferative sickle cell retinopathy in the right eye. Leukocoria generally raises warnings for retinoblastoma, but can also reflect chronic vitreous hemorrhage.
Volume
48 Online
First Page
58
Last Page
60
ISSN
1938-2405
Published In/Presented At
Barry, G. P., Shields, C. L., & Binenbaum, G. (2011). Leukocoria and vitreous hemorrhage as the initial manifestation of sickle retinopathy in a 3-year, 6-month-old child with sickle trait (AS). Journal of pediatric ophthalmology and strabismus, 48 Online, e58–e60. https://doi.org/10.3928/01913913-20111004-02
Disciplines
Medicine and Health Sciences | Pediatrics
PubMedID
21985230
Department(s)
Department of Pediatrics
Document Type
Article