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Related Experiment Videos

Vitreous hemorrhage in children.

Marc J Spirn1, Michael J Lynn, G Baker Hubbard

  • 1Department of Ophthalmology, Emory University School of Medicine, Atlanta, Georgia, USA.

Ophthalmology
|May 3, 2006
PubMed
Summary

Pediatric vitreous hemorrhage is most often caused by trauma, but spontaneous causes like regressed retinopathy of prematurity (ROP) also occur. Visual outcomes depend heavily on the underlying cause.

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Area of Science:

  • Ophthalmology
  • Pediatric Medicine
  • Trauma Research

Background:

  • Vitreous hemorrhage in children is uncommon but can lead to severe vision loss.
  • Etiologies range from trauma to spontaneous causes, necessitating a clear understanding for effective management.

Purpose of the Study:

  • To delineate the diverse presentations, underlying causes, and visual prognoses of vitreous hemorrhage in pediatric patients.
  • To differentiate outcomes between spontaneous and traumatic etiologies.

Main Methods:

  • A retrospective case series analyzed 168 pediatric patients (186 eyes) with vitreous hemorrhage over eight years.
  • Data collected included demographics, etiology, presenting symptoms, visual acuity (VA), and management strategies.

Main Results:

  • Trauma (manifest and occult) accounted for 73% of cases, with blunt and penetrating injuries being most frequent.
  • Spontaneous hemorrhages (27%) were commonly linked to regressed retinopathy of prematurity (ROP).
  • Visual outcomes were poorest in penetrating trauma and best in regressed ROP, with severe vision loss occurring in a significant proportion of patients.

Conclusions:

  • Trauma is the leading cause of pediatric vitreous hemorrhage, while regressed ROP is a key spontaneous cause.
  • Management and visual outcomes are highly variable and contingent upon the specific etiology.
  • A substantial number of children experience severe vision loss, underscoring the importance of prompt diagnosis and appropriate intervention.

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