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학술저널

미숙아 망막병증 환자에게서 공막 압박 안저 검사 후 발생한 다발성 망막출혈 1예

A Case of Widespread Retinal Hemorrhages of Retinopathy of Prematurity after the Fundus Examination with Scleral Indentation

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Purpose: We report a case of widespread retinal hemorrhages of retinopathy of prematurity (ROP) after the fundus examination with scleral indentation. Case summary: A premature infant, gestational age (GA) 28 + 3 weeks, birth weight 1,250 g, is consulted to ophthalmology department for screening of retinopathy of prematurity. At GA 28 + 3 weeks, both eyes are diagnosed ROP (zone II, stage3, preplus) and a blot hemorrhage was found around temporal area on right eye. After 3 days, panretinal dot and blot hemorrhages are seen on fundus examination, and rapidly increased after the scleral depression with an indentator. We had systemic evaluations to search any underlying cause which makes retinal hemorrhage, like endocarditis, however there are no abnormal findings. Hemorrhages were starting to resolve from 3 weeks after first fundus examination and 3 weeks later all hemorrhages were disappeared. Conclusions: It has reported that ROP infants have immature retinal vessels and decreased autoregulation of circulation; therefore they can easily be destructed. In our case, though fundus examination was done carefully by retina specialist, panretinal hemorrhage was increased rapidly after scleral depression. Thus if the fundus examination should be done with sclera depression, it must be taken carefully.

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