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Manifestations of ocular fundus in children with febrile seizures
Hui Guo1, Yuqing Lan, Mei Wang
1Department of Ophthalmology, Second Affiliated Hospital of Sun Yat-sen University, People's Republic of China.
Insights
The incidence of retinal hemorrhages in children experiencing febrile seizures is low, less than 10%. If found, other causes for retinopathy should be investigated.
Area of Science:
- Pediatric Ophthalmology
- Neurology
Background:
- Febrile seizures are common in children.
- Retinopathy can be a serious complication in pediatric conditions.
Purpose of the Study:
- To determine the incidence of retinopathy in children with febrile seizures.
- To assess the risk of retinal hemorrhages following febrile seizures.
Main Methods:
- Retrospective analysis of 34 children (3 months to 9 years) with febrile seizures.
- Fundus examination within 24 hours of admission for all subjects.
- Calculation of retinopathy incidence using established statistical methods.
Main Results:
- No cases of retinal hemorrhages were observed in the study cohort.
- The upper limit of the 95% confidence interval for retinal hemorrhages was determined to be less than 10%.
Conclusions:
- The incidence of retinal hemorrhages in children with febrile seizures is significantly low (under 10%).
- The presence of retinal hemorrhages in this population warrants consideration of alternative etiologies.
Purpose:
To study the potential incidence of retinopathy in children with febrile seizures.
Methods:
Thirty-four children with febrile seizures, aged 3 months to 9 years and admitted from January 2000 to June 2008, were retrospectively analyzed. All cases received fundus examination within 24 hours after admission and the incidence of retinopathy was calculated.
Results:
None of the subjects was found to have retinal hemorrhages. Therefore, using Hanley's Rule of Three, the upper limit of 95% confidence interval of retinal hemorrhages following febrile seizures in children is less than 10%.
Conclusion:
The incidence of retinal hemorrhages in children with febrile seizures is lower than 10%. If retinal hemorrhages are found in children with febrile seizures, other causes need to be considered.
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