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Clinicopathologic Reports,Case Reports, and Small Case Series
June 2001

Bilateral Retinal Hemorrhages in a Preterm Infant With Retinopathy of Prematurity Immediately Following Cardiopulmonary Resuscitation

Arch Ophthalmol. 2001;119(6):913-914. doi:

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.