Mesh : Adult Female Humans Child Retinal Artery Occlusion / diagnosis etiology Fundus Oculi Visual Acuity Retinal Hemorrhage / complications

来  源:   DOI:10.3928/01913913-20230906-02

Abstract:
The authors report a rare case of pediatric central retinal artery occlusion (CRAO) and spontaneous late recovery, with associated literature review. A retrospective review of patient medical records and literature search of four relevant databases was conducted. A 7-year-old girl with sudden, painless loss of vision in her right eye was referred to the authors\' center where she was found to have a CRAO with hand motion visual acuity. One month later, the patient developed multiple retinal hemorrhages throughout the fundus. Despite undergoing extensive investigations, a cause for her condition was not determined. Seventeen months after the original event, the patient regained a visual acuity of 20/40. A CRAO in the pediatric population is relatively rare and requires extensive investigation into the potential cause. Compared to adult CRAO, presentation in the pediatric age group should warrant a high index of suspicion and extensive work-up to treat any underlying systemic conditions and possibly prevent involvement of the other eye. [J Pediatr Ophthalmol Strabismus. 2023;60(6):e70-e74.].
摘要:
作者报告了一例罕见的儿童视网膜中央动脉阻塞(CRAO)和自发晚期恢复,与相关文献综述。对患者病历进行了回顾性审查,并对四个相关数据库进行了文献检索。一个7岁的女孩突然,她的右眼无痛视力丧失被转介给作者中心,在那里她被发现患有手动视力的CRAO。一个月后,患者在整个眼底出现多次视网膜出血。尽管进行了广泛的调查,她的病情原因尚未确定。最初的事件发生17个月后,患者恢复了20/40的视力。儿科人群中的CRAO相对罕见,需要对潜在原因进行广泛调查。与成人CRAO相比,在儿科年龄组中的表现应该需要高的怀疑指数和广泛的检查,以治疗任何潜在的全身性疾病,并可能防止另一只眼睛受累.[J.眼睛斜视.2023年;60(6):e70-e74。].
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