Retinal hemorrhage in a neonate with congenital diaphragmatic hernia
Journal Title: Scholars Journal of Medical Case Reports - Year 2015, Vol 3, Issue 9
Abstract
We present the case of birth-related retinal hemorrhage in a full-term female infant. The baby was born via cesarean section and showed left-sided congenital diaphragmatic hernia (CDH). High-frequency oscillation was initiated on the first day of life for management of pulmonary hypertension secondary to CDH. Hernia repair was performed 3 days after birth. Postoperatively, the pulmonary hypertension gradually resolved. On day 8after birth, an ophthalmoscopic examination revealed multiple oval retinal hemorrhages in the right eye. Additionally, several hemorrhages contained white-centers (Roth spots). The left eye, however, showed no abnormalities. During the 2-week follow-up period, the retinal hemorrhages gradually disappeared. We believe that the relationship between retinal hemorrhages and CDH is coincidental rather than causative in this patient. Keywords: Retinal hemorrhage, Roth spot, congenital diaphragmatic hernia, pulmonary hypertension.
Authors and Affiliations
Meri Watanabe, Shinji Makino, Hironobu Tampo
Keywords
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