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July 1986

Hemorrhagic Retinopathy Following Uncomplicated Pediatric Cataract Extraction

Author Affiliations

Ann Arbor, Mich

Arch Ophthalmol. 1986;104(7):975-979. doi:10.1001/archopht.1986.01050190033020

To the Editor.  —We have recently observed two infants, at two different institutions, with hemorrhagic retinopathy found one day following uncomplicated cataract extraction carried out by different surgeons (M.B.M. and M.D.). The retinopathy varied in extent from two small nerve fiber layer hemorrhages to multiple nerve fiber layer hemorrhages, Roth spots, and a small area of subhyaloid hemorrhage. This latter appearance mimics the picture found in battered child syndrome. The retinopathy was not seen immediately following surgery in either patient but was noted the day following surgery.

Report of Cases. 

—Case 1.  —A 10-month-old male infant, who had a birth weight of 2,835 g and normal growth and development, was seen for bilateral dense milky cataracts. His anterior segments were otherwise essentially normal, and he was able to follow a light with each eye. The presence of the cataracts prevented retinoscopy and fundus examination. Ultrasound examination revealed normal posterior

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