Prevalence of retinal hemorrhages in infants after extracorporeal membrane oxygenation

American Journal of Ophthalmology
J S Pollack, L Tychsen

Abstract

To determine the prevalence of vision-threatening retinal hemorrhages in infants after venoarterial extracorporeal membrane oxygenation, and possible correlation between retinal hemorrhages and brain hemorrhages, thrombocytopenia, carotid reanastomosis, or death after extracorporeal membrane oxygenation. We reviewed the findings of dilated ophthalmoscopic examinations performed on 37 children an average of 16 days after extracorporeal membrane oxygenation (35 neonates and two 1-year-old children). Five (13%) of the 37 children examined had small (< or = 1 disk diameter) intraretinal hemorrhages. Presence or absence of retinal hemorrhages did not correlate with presence of cerebral hemorrhage, mean platelet count during extracorporeal membrane oxygenation, a history of reanastomosis of the carotid artery, or subsequent death. Retinal hemorrhages observed after extracorporeal membrane oxygenation are not necessarily caused by extracorporeal membrane oxygenation; some hemorrhages may be benign and related to parturition. Children who undergo venoarterial extracorporeal membrane oxygenation are at low risk for vision-threatening retinal hemorrhage.

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Citations

Dec 17, 2005·AJR. American Journal of Roentgenology·Alex M BarnacleMelanie P Hiorns
Oct 26, 1999·Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus·T L YoungD B Schaffer
Apr 17, 2001·Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus·I I AntebyL Tychsen
Nov 15, 2016·Ophthalmic Surgery, Lasers & Imaging Retina·Hsin-Ting Lin, Yun-Hsiang Chang
Dec 8, 2000·ASAIO Journal : a Peer-reviewed Journal of the American Society for Artificial Internal Organs·H AoH Terasaki
Jan 17, 2003·Critical Care Medicine·Joseph Zenel, Brahm Goldstein
Jun 9, 2000·Eye·D Taylor
Feb 13, 2003·Neuropathology and Applied Neurobiology·J F GeddesI Scheimberg
Jan 6, 2021·Child Abuse & Neglect·Avrey ThauAlex Levin

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