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Electroretinogram Recording for Infants and Children under Anesthesia to Achieve Optimal Dark Adaptation and International Standards
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Dark without pressure retinal changes in a paediatric age group.

Mariana A Flores Pimentel1, Jacque L Duncan1, Alejandra G de Alba Campomanes1

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Dark without pressure (DWP) lesions in young children share similar clinical and imaging features with adults. These outer retinal findings are benign and do not resolve, preventing unnecessary patient anxiety.

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Area of Science:

  • Ophthalmology
  • Pediatric Ophthalmology
  • Retinal Imaging

Background:

  • Dark without pressure (DWP) is a retinal finding characterized by a dark area in the mid-periphery.
  • Associated imaging findings include attenuated hyperreflective outer segment bands on spectral domain OCT.
  • This study focuses on DWP in young children.

Purpose of the Study:

  • To describe the clinical and imaging characteristics of DWP in young children.
  • To compare findings in children with those previously reported in adults.

Main Methods:

  • Retrospective review of medical charts and retinal images.
  • Inclusion criteria: children with DWP seen in a pediatric eye clinic.
  • Imaging modalities included fundus autofluorescence and spectral domain OCT.

Main Results:

  • Six children aged 3-13 years with DWP lesions were identified.
  • Lesions were incidental findings, located in the mid-peripheral retina, sparing the macula.
  • Imaging revealed hypoautofluorescence and reduced outer segment/EZ line reflectivity, consistent with adult findings.

Conclusions:

  • DWP in young children exhibits similar characteristics to those in adults.
  • The dysfunction is located in the outer retina, but the etiology remains unknown.
  • Recognizing DWP as a benign condition can alleviate patient anxiety and avoid further investigations.