Bilateral rhegmatogenous retinal detachments from giant retinal tears in an infant with abusive head trauma and Stickler syndrome.
Autor: | Ebert JJ; Department of Ophthalmology, University of Cincinnati, Cincinnati, OH, USA., Utz VM; Abrahamson Pediatric Eye Institute, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA., Sisk RA; Department of Ophthalmology, University of Cincinnati, Cincinnati, OH, USA.; Abrahamson Pediatric Eye Institute, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.; Cincinnati Eye Institute, Cincinnati, OH, USA. |
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Jazyk: | angličtina |
Zdroj: | American journal of ophthalmology case reports [Am J Ophthalmol Case Rep] 2019 Dec 23; Vol. 17, pp. 100581. Date of Electronic Publication: 2019 Dec 23 (Print Publication: 2020). |
DOI: | 10.1016/j.ajoc.2019.100581 |
Abstrakt: | Purpose: To present a rare presentation of abusive head trauma (AHT) in an infant with a hereditary vitreoretinopathy. Observations: A two-month-old infant female victim of AHT presented with bilateral rhegmatogenous retinal detachments from giant retinal tears. She had rib fractures, a subdural hematoma, and hyphemas bilaterally. Retinal hemorrhages were not observed. The left eye was repaired by vitrectomy with intermediate-term perfluorocarbon liquid tamponade. Genetic testing demonstrated a pathogenic COL2A1 mutation confirming Stickler syndrome. Conclusions and Importance: Ophthalmic complications of AHT classically manifest as retinal hemorrhages in multiple layers. Instead, bilateral RRDs from GRTs were observed in this infant with Stickler syndrome. Competing Interests: The following authors have no financial disclosures: JJE, VMU, RAS. (© 2019 The Authors.) |
Databáze: | MEDLINE |
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