早产儿视网膜病变检查期间的视网膜出血：一种眼减压性视网膜病变形式。
Retinal Hemorrhages During Examination for Retinopathy of Prematurity: A Form of Ocular Decompression Retinopathy.
作者信息
Matei Vlad M, He Yu-Guang
机构信息
Saint Joseph Hospital, Denver, CO, USA.
Department of Ophthalmology, University of Texas Southwestern Medical Center at Dallas, Dallas, TX, USA.
出版信息
J Vitreoretin Dis. 2020 Aug 17;5(1):72-76. doi: 10.1177/2474126420936481. eCollection 2021 Jan-Feb.
PURPOSE
Posterior segment hemorrhage occurring during or shortly after examination (PSHE) for retinopathy of prematurity (ROP) is a very rare complication. We present a case of and review the literature on PSHE during ROP examination to better characterize this complication.
METHODS
A case report is presented, followed by a review of similar cases in the literature.
RESULTS
An infant undergoing laser photocoagulation for ROP rapidly developed diffuse intraretinal hemorrhages in his right eye during the laser and after a Valsalva event while he was intubated under general anesthesia. The hemorrhages resolved within 1 week. This presentation was similar to those in previously reported cases.
CONCLUSIONS
PSHE in ROP usually consists of multiple, diffuse, intraretinal hemorrhages that occur within minutes of ROP examination and resolve within a few weeks without any other ocular findings or sequelae. PSHE seems to represent a form of ocular decompression retinopathy.
目的
早产儿视网膜病变（ROP）检查期间或检查后不久发生的后段出血（PSHE）是一种非常罕见的并发症。我们报告一例PSHE病例并回顾相关文献，以更好地描述这种并发症。
方法
先呈现一例病例报告，随后回顾文献中的类似病例。
结果
一名接受ROP激光光凝治疗的婴儿在激光治疗期间及全身麻醉插管时进行瓦尔萨尔瓦动作后，右眼迅速出现弥漫性视网膜内出血。出血在1周内消退。该表现与先前报道的病例相似。
结论
ROP中的PSHE通常由多个弥漫性视网膜内出血组成，这些出血在ROP检查后几分钟内发生，并在几周内消退，无任何其他眼部表现或后遗症。PSHE似乎是一种眼部减压性视网膜病变的形式。
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