Title Vitreous hemorrhage caused by scleral depression during laser treatment for aggressive posterior retinopathy of prematurity /
Another Title Stiklakūnio kraujosruva atsiradusi dėl odenos įspaudimo atliekant agresyviosios užpakalinėsneišnešiotų naujagimių retinopatijos gydymą lazeriu.
Authors Shah, Parag K ; Narendran, V ; Narendran, Kalpana
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Is Part of Acta medica Lituanica. 2006, Vol. 13, no. 3. ISSN 1392-0138
Keywords [eng] Retinopathy of prematurity ; Lasertherapy ; Vitreous hemorrhage
Abstract [eng] Ablation for threshold retinopathy of prematurity (ROP) is a procedure with a high benefit-to-risk ratio. Vitreous hemorrhage is a rare complication which may occur during this procedure. We report a case which developed vitreous hemorrhage in both eyes while doing laser using a scleral depressor. A premature male child was born through normal delivery at gestational age of 32 weeks and birth weight of 1420 grams. A diagnosis of aggressive posterior retinopathy of prematurity (APROP) was made in both eyes. Laser was done using diode infrared in both eyes under topical anesthesia. While doing the laser, the fragile new vessels bled and resulted in a vitreous hemorrhage over the posterior pole. The child finally ended up having stage 4B retinal detachments in both eyes, for which lens sparing vitrectomy was performed. Our report suggests that vitreous hemorrhage could occur secondarily to the intraocular pressure changes caused by the use of scleral depressor. This complication should be kept in mind while doing laser, and a sudden release of the depressor should be avoided, especially in zone 1 cases.
Type Journal article
Language English
Publication date 2006