Retinopathy of prematurity

Case contributed by Dr Arjumand Jahan

Presentation

A premature 3 months old male child with a history of oxygen supplementation, presented with bilateral leukocoria.

Patient Data

Age: 3 months
Gender: Male
Ultrasound

B-scan transverse image of eyes show bilateral small eyes with swollen, cataractous lens and symmetrical heterogenous predominantly hypoechoic mass lesion with few echogenic foci- calcification in posterior segment attached anteriorly to posterior surface of lens.

Case Discussion

Retinopathy of prematurity is one of the major differential diagnosis in premature, low birth weight infants presenting with leukocoria.  It is an abnormal proliferation of blood vessels within the retina which can lead to retinal detachment. The most important cause is excessive oxygen supplementation. B-scan ophthalmic ultrasound is a safe and readily available modality for its diagnosis.

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Case information

rID: 56156
Case created: 14th Oct 2017
Last edited: 23rd Oct 2017
Inclusion in quiz mode: Excluded
Institution: KING GEORGE'S MEDICAL UNIVERSITY

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