Retinal Hemorrhage After Cardiopulmonary Resuscitatíon

PEDIATRICS ◽  
1990 ◽  
Vol 86 (4) ◽  
pp. 650-650
Author(s):  
Mark G. Goetting
Keyword(s):  
Cardiopulmonary Resuscitation ◽  
Good Reason ◽  
Retinal Hemorrhage ◽  
Retinal Hemorrhages ◽  
True Incidence ◽  
Indirect Ophthalmoscopy ◽  
Direct Ophthalmoscopy

In Reply.— Doctor Hertle and associates raise an important point regarding the incidence of retinal hemorrhages after cardiopulmonary resuscitation. It seems likely that the true incidence of retinal hemorrhages may be higher than we reported, because our method of detection is less sensitive than indirect ophthalmoscopy. However, there is a good reason for using direct ophthalmoscopy, because this is the method by which most clinicians would detect retinal hemorrhage. The purpose of our paper was to demonstrate that these hemorrhages can occur following cardiopulmonary resuscitation and are not necessarily due to preceding trauma.

scholarly journals Retinal Changes in Severe Malaria in Bangladeshi Children

2018 ◽  
Vol 42 (3) ◽  
pp. 118-124 ◽  
Author(s):  
Abul Kalam Azad ◽  
Sanat Kumar Barua ◽  
Farid Uddin Ahmed ◽  
Parvez Iqbal Sharif ◽  
Nasir Uddin Mahmud
Keyword(s):  
Severe Malaria ◽  
High Sensitivity ◽  
Plasmodium Falciparum Malaria ◽  
Retinal Hemorrhage ◽  
Clinical Tool ◽  
College Hospital ◽  
Indirect Ophthalmoscopy ◽  
Malarial Retinopathy ◽  
Direct Ophthalmoscopy ◽  
Indirect Ophthalmoscope

Background: In malaria endemic areas diagnosis of severe malaria by microscopy and immunodiagnostic test is confounded by asymptomatic peripheral blood parasitemia. In such settings, retinal changes by ophthalmoscopy showed some diagnostic utility. Contribution of ophthalmoscopy in diagnosis of severe malaria in children is not well studied in Bangladesh. The aim of this study was to describe the retinal findings in children of cerebral and non-cerebral severe malaria by direct and indirect ophthalmoscope and relate their outcome and to determine the course of changes in the fundus. Methodology: In this prospective observational study 130 consecutive children aged between 6 months to 12 years admitted with confirmed severe Plasmodium falciparum malaria in pediatrics ward of Chittagong Medical College Hospital, Chittagong, Bangladesh were assessed by both direct and indirect ophthalmoscopy during the period of April 2008 to March 2009. Results: Out of 130 patients 80 children had cerebral malaria and of these 49 (61.2%) had some degree of retinopathy; 24 (48%) of 50 with non cerebral severe malaria had retinopathy. Predominant retinal changes were Retinal hemorrhage and Macular whitening each in 53 (40.77%) patients, followed by peripheral whitening, Vessels changes and papilloedema in 50 (38.46%), 40 (30.77%) and 14 (10.78%) patients respectively. With indirect ophthalmoscope as reference, direct ophthalmoscopy had a high sensitivity to detect macular whitening, and papilloedema but was less sensitive to detect peripheral whitening and vessel changes. Patients with retinopathy had more chance to had unfavorable outcome (Death) in comparison to the patients who had not {Odds ratio:1.09 (95% CI:1.017-1.167)}. Most of these retinal changes were transient and resolved gradually as clinical condition improved. Conclusion:Features compatible with malarial retinopathy were commonly found in our children with severe malaria. Ophthalmoscopy is an important clinical tool to aid in diagnosis and prognosis in children. However, indirect ophthalmoscopy provides better information than direct ophthalmoscopy. Bangladesh J Child Health 2018; VOL 42 (3) :118-124

Retinal Hemorrhage After Cardiopulmonary Resuscitatíon

PEDIATRICS ◽  
1990 ◽  
Vol 86 (4) ◽  
pp. 649-650
Author(s):  
Richard W. Hertle ◽  
Graham E. Quinn ◽  
Ann-Christine Duhaime
Keyword(s):  
Child Abuse ◽  
Cardiopulmonary Resuscitation ◽  
Technical Difficulty ◽  
Retinal Hemorrhage ◽  
Valuable Insight ◽  
Retinal Hemorrhages ◽  
Important Observation ◽  
Study Population ◽  
Insight Into

To the Editor.— We read with interest the report of Drs Goetting and Sowa on "Retinal Hemorrhage After Cardiopulmonary Resuscitation in Children: An Etiologic Reevaluation." The authors have provided valuable insight into the etiology and incidence of retinal hemorrhages after resuscitative efforts. This is an important observation, because some authors and clinicians equate the presence of retinal hemorrhages with child abuse.1-3,5 However, we feel that the 10% (2 of 20) incidence of retinal hemorrhages in their study population may be an underestimate due to a technical difficulty.

Retinal Hemorrhage in an Infant After Cardiopulmonary Resuscitation

1990 ◽  
Vol 11 (1) ◽  
pp. 79-82 ◽  
Author(s):  
Victor W. Weedn ◽  
Ahmad M. Mansour ◽  
Myron M. Nichols
Keyword(s):  
Cardiopulmonary Resuscitation ◽  
Retinal Hemorrhage

scholarly journals A pitfall in the diagnosis of child abuse: external hydrocephalus, subdural hematoma, and retinal hemorrhages

1999 ◽  
Vol 7 (4) ◽  
pp. E5 ◽  
Author(s):  
Joseph H. Piatt
Keyword(s):  
Child Abuse ◽  
Head Injury ◽  
Subdural Hematoma ◽  
Retinal Hemorrhage ◽  
Minor Trauma ◽  
Retinal Hemorrhages ◽  
External Hydrocephalus ◽  
Subdural Hemorrhages ◽  
Cautious Interpretation ◽  
A Minor

External hydrocephalus has been associated with subdural hematomas in infancy, and the hematomas have been noted to be secondary to minor trauma or have even been described as spontaneous. The author reports the case of an infant with external hydrocephalus who developed retinal as well as subdural hemorrhages after sustaining a minor head injury. Although retinal hemorrhage in infancy has been considered virtually pathognomonic of child abuse, in the setting of external hydrocephalus a more cautious interpretation may be appropriate.

scholarly journals A Case of Bilateral Retinal Hemorrhage with Cotton Wool Spot Following Viper Bite

2015 ◽  
Vol 14 (3) ◽  
pp. 297-298
Author(s):  
Subhasis Jana ◽  
Saumen Kumar Chaudhuri ◽  
Purban Ganguly ◽  
Sumi Ghorai
Keyword(s):  
Degradation Products ◽  
Medical Science ◽  
Retinal Hemorrhage ◽  
Fundus Examination ◽  
Cotton Wool ◽  
Retinal Hemorrhages ◽  
Cotton Wool Spots ◽  
Fibrin Degradation Products ◽  
History Of

A 38 years male, admitted in the department of Internal Medicine with a history of snake bite in his left lower leg during agriculture work. He was treated with anti snake venom after admission. He had history of dimness of vision in both eyes. On examination, swelling and subcutaneous hemorrhage was noted in his left leg. His best corrected visual acuity (BCVA) was 6/60 in the both eyes. Fundus examination with 90 D lens and Indirect Ophthalmoscopy of both eyes showed retinal hemorrhage with cotton wool spots. Blood tests revealed increased titers of D-dimer and fibrin degradation products. The patient was followed up regularly at 2 weeks interval and BCVA and Fundus examination was carried out. At the end of 10 weeks, retinal hemorrhages had significantly cleared in both eyes with improvement of vision in both eyes (BCVA of right eye at last follow-up 6/6 and left eye 6/9).Bangladesh Journal of Medical Science Vol.14(3) 2015 p.297-298

Bilateral retinal hemorrhage after endoscopic third ventriculostomy: iatrogenic Terson syndrome

2009 ◽  
Vol 110 (5) ◽  
pp. 858-860 ◽  
Author(s):  
Eelco W. Hoving ◽  
Mehrnoush Rahmani ◽  
Leonie I. Los ◽  
Victor W. Renardel de Lavalette
Keyword(s):  
Intracranial Pressure ◽  
Endoscopic Third Ventriculostomy ◽  
Obstructive Hydrocephalus ◽  
Retinal Hemorrhage ◽  
Third Ventriculostomy ◽  
Illustrative Case ◽  
Retinal Hemorrhages ◽  
Terson Syndrome ◽  
Steep Rise ◽  
Outflow Channel

A serious ophthalmological complication of an endoscopic third ventriculostomy that created an iatrogenic Terson syndrome is described. A patient with an obstructive hydrocephalus was treated endoscopically, but due to the inadvertent use of a pressure bag during rinsing, in combination with a blocked outflow channel, a steep rise in intracranial pressure occurred. Postoperatively the patient experienced disturbed vision caused by bilateral retinal hemorrhages, and an iatrogenic Terson syndrome was diagnosed. The pathogenesis of Terson syndrome is discussed based on this illustrative case.

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