Retinal Hemorrhages During Examination for Retinopathy of Prematurity: A Form of Ocular Decompression Retinopathy

Vlad M. Matei, Yu Guang He

Research output: Contribution to journalArticlepeer-review

Abstract

Purpose: Posterior segment hemorrhage occurring during or shortly after examination (PSHE) for retinopathy of prematurity (ROP) is a very rare complication. We present a case of and review the literature on PSHE during ROP examination to better characterize this complication. Methods: A case report is presented, followed by a review of similar cases in the literature. Results: An infant undergoing laser photocoagulation for ROP rapidly developed diffuse intraretinal hemorrhages in his right eye during the laser and after a Valsalva event while he was intubated under general anesthesia. The hemorrhages resolved within 1 week. This presentation was similar to those in previously reported cases. Conclusions: PSHE in ROP usually consists of multiple, diffuse, intraretinal hemorrhages that occur within minutes of ROP examination and resolve within a few weeks without any other ocular findings or sequelae. PSHE seems to represent a form of ocular decompression retinopathy.

Original languageEnglish (US)
Pages (from-to)72-76
Number of pages5
JournalJournal of VitreoRetinal Diseases
Volume5
Issue number1
DOIs
StatePublished - Jan 1 2021

Keywords

  • macula
  • pediatric retina
  • retina
  • retinal vascular disease
  • retinopathy of prematurity

ASJC Scopus subject areas

  • Ophthalmology

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