The relationship, if any, between intraretinal hemorrhages (IRH) and
cardiopulmonary resuscitation (CPR) in pediatric patients is unclear. We describe
an infant who developed bilateral IRH immediately following CPR. This case
is unique in that the infant was examined by 2 retinal specialists (K.-G.A.E.
and D.J.P.) immediately before and following CPR, with the interval between
the 2 examinations being approximately 2 hours.
A black male infant born at 24 weeks' gestation with a birth weight
of 670 g was examined by 2 retinal specialists prior to planned laser photocoagulation
at 35 weeks' postmenstrual age. Ophthalmoscopy disclosed bilateral stage 3
retinopathy of prematurity (ROP) in zone II. The left eye had 7 hours of stage
3 with plus ROP (threshold) and rare IRH, while the right eye was prethreshold
with no hemorrhage.
Polito A, Au Eong K, Repka MX, Pieramici DJ. Bilateral Retinal Hemorrhages in a Preterm Infant With Retinopathy of Prematurity Immediately Following Cardiopulmonary Resuscitation. Arch Ophthalmol. 2001;119(6):913-914. doi: