新生儿高血压性视网膜病变。
Hypertensive retinopathy in a neonate.
作者信息
Goyal Prakhar, Agarwal Komal
机构信息
Srimati Kannuri Santhamma Center for Vitreo-retinal Diseases, LV Prasad Eye Institute, Hyderabad, India.
Srimati Kannuri Santhamma Center for Vitreo-retinal Diseases, LV Prasad Eye Institute, Hyderabad, India
出版信息
BMJ Case Rep. 2020 Oct 30;13(10):e235720. doi: 10.1136/bcr-2020-235720.
A 23-day-old female child diagnosed as having systemic hypertensive emergency was referred for retinal screening. The fundus examination showed bilateral intraretinal haemorrhages and hard exudates especially at the macula. Venous looping was noted. The ocular features were suggestive of hypertensive retinopathy. Control of systemic hypertension was advised and was managed conservatively with close follow-up. Widefield fundus photography was done at presentation and follow-up to document the change in retinopathy with control of hypertension.The haemorrhages and exudates resolved on follow-up but significant retinal pigment epithelium changes with beaten bronze appearance were noted at the area of previous oedema. Presence of hypertensive retinopathy in a neonate is rare and has long-term effects on visual development. This report describes the course of hypertensive retinopathy in a neonate.
一名23日龄的女童被诊断为患有系统性高血压急症，被转诊进行视网膜筛查。眼底检查显示双侧视网膜内出血和硬性渗出，尤其是在黄斑区。可见静脉迂曲。眼部特征提示为高血压性视网膜病变。建议控制系统性高血压，并采取保守治疗并密切随访。在就诊时和随访时进行了广角眼底摄影，以记录随着高血压得到控制视网膜病变的变化。随访时出血和渗出消失，但在先前水肿区域发现了显著的视网膜色素上皮改变，呈现出 beaten bronze外观。新生儿出现高血压性视网膜病变很罕见，且对视觉发育有长期影响。本报告描述了一名新生儿高血压性视网膜病变的病程。
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