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Updated: Jun 3, 2026

Isolation of Neonatal Extrahepatic Cholangiocytes
Published on: June 5, 2014
Reversible retinal edema in an infant with neonatal hemochromatosis and liver failure
Ramiro S Maldonado1, Sharon F Freedman, C Michael Cotten
1Department of Ophthalmology, Duke University School of Medicine, Durham, North Carolina 27010, USA.
Insights
Neonatal hemochromatosis caused severe eye swelling and fluid in infants. Successful liver transplant resolved these retinal abnormalities, including the cherry-red spot appearance.
Area of Science:
- Ophthalmology
- Neonatology
- Pediatric Gastroenterology
Background:
- Neonatal hemochromatosis is a severe iron overload disorder.
- Retinal manifestations are rare but can mimic other metabolic diseases.
- Macular cherry-red spots are indicative of certain storage disorders.
Abstract:
We present a case of bilateral severe retinal edema with subretinal fluid in an infant diagnosed with neonatal hemochromatosis and liver failure. A macular cherry-red spot in each eye mimicked the clinical appearance of many metabolic storage diseases. Both the clinical retinal appearance and the anatomic abnormalities observed on spectral domain optical coherence tomography resolved after successful liver transplant.

