Sickle Cell Retinopathy

Lim, Jennifer I.

doi:10.1007/978-3-030-42634-7_29

Cited by 1 publication

(1 citation statement)

References 82 publications

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“…Cavernous sinus thrombosis is rare but also results in intracranial hemorrhage and RHs 16 . In these venous stasis conditions, thus, RHs are present only on/near veins but not on/near arteries 8 , 13 , 16 . RHs also occur as a result of a retinal vein occlusion associated with arteriosclerosis in adults.…”

Section: Discussionmentioning

confidence: 99%

Retinal hemorrhages and damages from tractional forces associated with infantile abusive head trauma evaluated by wide-field fundus photography

Azuma,

Yoshida,

Yokoi

et al. 2024

Sci Rep

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We evaluated the distribution and types of retinal hemorrhages (RHs) and other damages in eyes with abusive head trauma (AHT). This retrospective, consecutive case series of AHT and non-AHT conditions involved 54 children with AHT, 43 children with head bruises, and 49 children with blunt eye trauma, each of non-AHT supported by reliable witness accounts. RHs and other damage were evaluated using ophthalmoscopy and wide-field fundus photography. A variety of RH types and other damage were identified in the AHT group but not in the non-AHT group. RHs in AHT extended from the posterior pole to the far periphery in 77% of eyes and on/near the veins in 86% and arteries in 85%, most of which were in the far periphery. Retinoschisis, white-dot lesions, and retinal folds were seen even in the far periphery. RHs on/near the veins and arteries, retinoschisis, and retinal folds suggest a traumatic mechanism of the tractional force of the vitreous that is attached to the entire retinal surface. Identifying the distribution and arterio and venous origins of RHs is a key factor in determining the association with trauma. Thus, wide-field fundus photography is useful to record and evaluate the origin of the RHs and other retinal damage.

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Section: Discussionmentioning

confidence: 99%