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.
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