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[The retinal fold in premature infants]
Insights
Retinal folds in premature infants with retrolental fibroplasia may be distinct from congenital retinal folds. Prematurity and excessive oxygenation can cause retinal folds similar to malformative ones.
Area of Science:
- Ophthalmology
- Neonatal Medicine
- Pediatric Surgery
Background:
- Retinal folds are increasingly observed in premature infants with retrolental fibroplasia.
- Distinguishing between congenital and acquired retinal folds is crucial for appropriate management.
Purpose of the Study:
- To investigate the differences between retinal folds in premature infants with retrolental fibroplasia and congenital retinal folds.
- To analyze the clinical and morphoscopic characteristics of these retinal conditions.
Main Methods:
- A 3-year survey was conducted on 27 children.
- Children were divided into two groups: premature infants with retrolental fibroplasia and full-term infants with congenital retinal folds.
- Clinical and morphoscopic examinations were performed.
Main Results:
- Clinical presentation of the two types of retinal folds showed minimal differences.
- Morphoscopic examination revealed distinct characteristics between the two groups.
- Standard therapies for complications like strabismus, cataract, and retinal detachment were administered.
Conclusions:
- A malformative retinal fold can occur in full-term infants.
- Retinal folds can also be acquired in premature infants due to prematurity and excessive oxygen exposure.
- These acquired folds may present similarly to congenital malformations.
Abstract:
More and more authors point out the existence of the retinal folds at the prematures with retrolental fibroplasia. This form is considered to be achieved. The survey has been done during 3 years on 27 children, divided in 2 groups: the former was the group of the prematures with retinal fold present in retrolental fibroplasia, and the later was the group of children with congenital retinal fold, but born at time. Clinically, the difference between the two types of folds is not so obvious, but from the morphoscopical aspect they differ. The therapy of the diagnosed children was the usual one done in complications: strabismus, cataract, retinal detachment. The conclusions is that, besides the malformative retinal fold of the child born at time, another similar lesion provoked by the prematurity and abusive oxygenation is possible.