A review on clotting disorders and retinal hemorrhages: Can they mimic abuse?

2021 ◽  
Vol 118 ◽  
pp. 105070
Author(s):  
Avrey Thau ◽  
Brooke Saffren ◽  
James D. Anderst ◽  
Shannon L. Carpenter ◽  
Alex V. Levin
Keyword(s):  
Retinal Hemorrhages

Rubeosis iridis and macular hemorrhages from multiple Corkscrew retinal vessels in a patient with NF1

2021 ◽  
pp. 112067212199663
Author(s):  
Marilyn A Márquez ◽  
Claudio P Juárez ◽  
Maria C Sánchez ◽  
Jose D Luna
Keyword(s):  
Intravitreal Bevacizumab ◽  
Visual Outcome ◽  
Neovascular Glaucoma ◽  
Retinal Vessels ◽  
Retinal Hemorrhages ◽  
Fluorescein Angiogram ◽  
Rubeosis Iridis ◽  
Good Visual Outcome ◽  
Av Malformation ◽  
Sudden Decrease

Purpose: To report a case of a patient with NF1 presenting with ocular findings of AV malformation, multiple retinal hemorrhages, and neovascular glaucoma in the absence of retinal ischemia. Methods: Review of the medical record was conducted in accordance with the local IRBt. Results: A 60-year-old female patient with diagnosis of Neurofibromatosis type1 (NF1) and sudden decrease of vision in her left eye was found to have rubeosis iridis and high intraocular pressure (IOP). On fundus exam multiple corkscrew retinal vessels and retinal hemorrhages were present in her left eye. On Optical Coherence Tomography (OCT) the foveal hemorrhages appeared as outer layer hyperreflective retinal infiltrates whereas in the parafoveal area the hyperreflectivity was present between the RPE and neurosensory retina. Fluorescein Angiogram (FA) showed normal perfusion and no areas of leakage or ischemia. Treatment with anti-angiogenics in a timely manner correlated with a good visual outcome. Conclusions: We present a unique patient with NF1, rubeosis iridis, high IOP, and macular hemorrhages from multiple corkscrew retinal vessels in a well perfused retina, who underwent treatment with a single dose of intravitreal Bevacizumab and had an excellent response

Magnetic Resonance Imaging Evaluation of Neonates With Retinal Hemorrhages

PEDIATRICS ◽  
1992 ◽  
Vol 89 (2) ◽  
pp. 332-333
Author(s):  
WILBUR L. SMITH ◽  
RANDELL C. ALEXANDER ◽  
G. FRANK JUDISCH ◽  
YUTAKA SATO ◽  
SIMON C. S. KAO
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Abusive Head Trauma ◽  
Full Term ◽  
Resonance Imaging ◽  
Retinal Hemorrhages ◽  
Imaging Evaluation ◽  
Term Neonates ◽  
Magnetic Resonance Imaging Evaluation ◽  
A Prospective Study

Retinal hemorrhages occur frequently in association with abusive head trauma.1 The injuries are venous [See table in the PDF] in origin and, as such, are similar to the retinal hemorrhages which frequently occur in full-term neonates after vaginal delivery. Because retinal hemorrhages in child abuse frequently are associated with intracranial bleeding, we questioned the possibility of a relationship between parturitional retinal hemorrhages and concurrent intracranial injuries. To answer this question we designed a prospective study in which we performed magnetic resonance imaging on 10 randomly selected full-term neonates in whom the presence of retinal hemorrhages was confirmed on fundascopic examination by a pediatric ophthalmologist.

Medical Record Documentation of Head Injury

1993 ◽  
Vol 14 (8) ◽  
pp. 300-301
Keyword(s):  
Blood Pressure ◽  
Head Injury ◽  
Chief Complaint ◽  
Problem List ◽  
Past Medical History ◽  
Retinal Hemorrhages ◽  
Parietal Area ◽  
Regular Rhythm ◽  
Optic Discs ◽  
Medical Record Documentation

Name: Roger Horton1 Date of Birth: June 1, 19842 Drug Allergies: None known3 Immunizations: Complete4 Wednesday, June 9, 1993 1 PM CHIEF COMPLAINT: Fell and hit side and head. PRESENT ILLNESS: At 12:15 PM was swinging high on swing at schoolyard. Fell off at top of arc and landed on hard ground, striking right side of body and right side of head. Remembers landing and "seeing stars," then being surrounded by others. Does not think he lost consciousness. Walked into school, with help. PAST MEDICAL HISTORY (as recorded on problem list): Occasional wheezing, relieved by albuterol inhaler. Fracture, left radius, age 6. PHYSICAL EXAMINATION: Slim, pale boy, sitting quietly on table. Complains of headache; feels "sick to my stomach" and cold. Right shoulder and hip hurt; neck does not. Weight: 58 lb Temperature: 98.2°F, orally Pulse rate: 92 beats/min Respiratory rate: 20 breaths/min Blood pressure: 120/70 Head: Tender and mildly swollen over right parietal area. Eyes: Sclerae clear. Pupils equal in size and reactive. Extraocular movements full without nystagmus. Media clear. Optic discs sharp. Venous pulsations noted. No retinal hemorrhages. Acuity 20/26 in each eye. Ears: Clear tympanic membranes without blood. Nose: Clear; no discharge. Mouth/throat: Clear; no injury noted. Neck: Full movement without pain. Mild tenderness on right side. Chest: Breathing easily. Clear sounds. No tenderness of ribs. Heart: Good sounds in regular rhythm without murmurs.

Retinal Hemorrhages Associated With Ocular Decompression After Glaucoma Surgery

1996 ◽  
Vol 27 (2) ◽  
pp. 147-150
Author(s):  
Denise F Dudley ◽  
Martha M Leen ◽  
James L Kinyoun ◽  
Richard P Mills
Keyword(s):  
Glaucoma Surgery ◽  
Retinal Hemorrhages
Sign in / Sign up

Export Citation Format

Share Document