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February 1994

Bilateral Spontaneous Pigment Epithelial Detachments in a Premature Neonate

Author Affiliations

Brooklyn, NY

Arch Ophthalmol. 1994;112(2):161-162. doi:10.1001/archopht.1994.01090140035013

We report the observation of bilateral spontaneous retinal pigment epithelial detachments (PEDs) in a premature neonate who was routinely observed for stage I retinopathy of prematurity.

Report of a Case.  A preterm infant, whose gestational age was 30 weeks and whose birth weight was 1052 g, was treated with supplemental oxygen for the first 2 weeks of life. At 8 weeks of life, a routine screening evaluation to detect retinopathy of prematurity revealed stage I zone 3 retinopathy of prematurity in each eye. On follow-up examination 2 weeks later, a discrete retinal PED measuring approximately 1×2 disc diameters was observed in the right eye (Figure 1 ), and two discrete retinal PEDs, each measuring approximately 1 disc diameter, were observed in the left eye (Figure 2). Since an effect of 2.5% phenylephrine hydrochloride on the choroidal circulation was suspected, the clinician was instructed to dilate the eye using 1% tropicamide only