Retinal Hemorrhage after Screening Examination for Retinopathy of Prematurity in a Premature Infant

• 발행기관: 대한검안학회
• 저자명: Gang Seok Jeon Jae Ryong Han Ha Kyoung Kim
• 간행물 정보: 『Annals of optometry and contact lens』Vol.8 No.2, 78~80쪽, 전체 3쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2009.12.30

영문 초록

Purpose: To report retinal hemorrhage in a premature infant by screening examination for retinopathy of prematurity (ROP). Methods: We reviewed medical record retrospectively. Results: An 1,190 g 30 week 5 day gestation infant was consulted for screening examination about ROP. First fundus examination conducted at 33 week 3 day gestation age. There was no retinal hemorrhage, plus sign, demarcation line or ridge and shows Zone II vascularization. After 2 weeks later second fundus examination, multiple round shape of retinal hemorrhage developed in left eye. And the very next day, retinal hemorrhage newly developed same in which left eye was observed in right eye. Retinal hemorrhage spontaneously resolved completely after 2 weeks later. There was no sign of ROP on fundus examination of follow up period. Conclusions: This case shows how susceptible to rupture the infant retinal vascular system is. There is possibility of microtrauma and compressive effect through sclera indentation or Valsalva effect causes these hemorrhages of premature infant. But exact pathogenesis of these hemorrhages is unclear.

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키워드

Premature infant Retinal hemorrhage