Causes of Retinal Hemorrhages and Papilledema in Young Children.
Background: There is much debate on the implications of retinal hemorrhages observed in young children. The location and type of retinal hemorrhages can have important diagnostic significance in determining the cause, especially when there is suspicion of child abuse. Additionally, when retinal hemo...
| Published in: | Optometry & Visual Performance Vol. 2; no. 6; pp. 307 - 314 |
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| Format: | case study pictorial review tables/charts Journal Article |
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Optometric Extension Program
Dec2014
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=101326788&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 101326788 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 23253479 HOOW jtl: Optometry & Visual Performance issn: 23253479 maglogo: N pubinfo: dt: Dec2014 vid: 2 iid: 6 pid: 46881 pub: Optometric Extension Program place: Lutherville Timonium, Maryland artinfo: ui: 101326788 101326788 109799902 101326788 ppf: 307 ppct: 7 formats: tig: atl: Causes of Retinal Hemorrhages and Papilledema in Young Children. aug: au: Liechty, Jenna M. sug: subj: Eye Hemorrhage Etiology Eye Hemorrhage Diagnosis Optic Nerve Diseases Etiology Optic Nerve Diseases Diagnosis Optometry In Infancy and Childhood Female African Americans Child, Preschool Vision Tests Ophthalmoscopy Magnetic Resonance Imaging Diagnosis, Differential Eye Hemorrhage Physiopathology Eye Hemorrhage Symptoms Eye Hemorrhage Classification Patient History Taking Hematoma, Subdural, Acute Diagnosis Child Abuse Trauma Leukemia Intracranial Hypertension Retinitis Anemia Terson Syndrome Blood Coagulation Disorders Mandatory Reporting United States Referral and Consultation Outpatients Child, Preschool: 2-5 years Female ab: Background: There is much debate on the implications of retinal hemorrhages observed in young children. The location and type of retinal hemorrhages can have important diagnostic significance in determining the cause, especially when there is suspicion of child abuse. Additionally, when retinal hemorrhages present with papilledema in children, it is a challenge to distinguish whether they are mutually exclusive or connected by a single etiology. Case Report: A three-year-old African American female presented for her first eye examination with complaints of tearing for one week. Binocular indirect ophthalmoscopy revealed bilateral disc edema, a pre-retinal hemorrhage OS, and scattered peripheral intraretinal hemorrhages OU. The patient was referred to the emergency room at LeBonheur Childrens Hospital for MR1 of head, neck, and orbits and for a neurology consult. MRI results confirmed papilledema and showed a subdural hemorrhage surrounding the left parietal and occipital lobes. Discussion: Due to the potential serious nature of possible etiologies, a prompt referral was made in this case and is the standard of care. It is also important for optometrists to recognize the different types of retinal hemorrhages and the implications they have in the course of the disease process, as well as to be familiar with the protocols for reporting suspected child abuse if it is potentially occurring. pubtype: Academic Journal doctype: case study pictorial review tables/charts Journal Article ougenre: Unknown language: English refInfo: holdings: @attributes: islocal: N |
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