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Scholars Journal of Medical Case Reports | Volume-3 | Issue-09
Retinal hemorrhage in a neonate with congenital diaphragmatic hernia
Meri Watanabe, Shinji Makino, Hironobu Tampo
Published: Sept. 30, 2015 | 141 172
DOI: 10.36347/sjmcr.2015.v03i09.017
Pages: 849-850
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Abstract
We present the case of birth-related retinal hemorrhage in a full-term female infant. The baby was born via cesarean section and showed left-sided congenital diaphragmatic hernia (CDH). High-frequency oscillation was initiated on the first day of life for management of pulmonary hypertension secondary to CDH. Hernia repair was performed 3 days after birth. Postoperatively, the pulmonary hypertension gradually resolved. On day 8after birth, an ophthalmoscopic examination revealed multiple oval retinal hemorrhages in the right eye. Additionally, several hemorrhages contained white-centers (Roth spots). The left eye, however, showed no abnormalities. During the 2-week follow-up period, the retinal hemorrhages gradually disappeared. We believe that the relationship between retinal hemorrhages and CDH is coincidental rather than causative in this patient.