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Visual and anatomic outcomes of premacular hemorrhage in non-accidental trauma infants managed with observation or vitrectomy

Ophthalmic Surgery, Lasers and Imaging Dec 25, 2020

Uner OE, Stelton CR, Hubbard GB, et al. - Since the management of premacular hemorrhage secondary to non-accidental trauma (NAT) is ambiguous, researchers sought to characterize the outcomes of NAT infants referred for surgical evaluation of premacular hemorrhage. Between 2000 and 2019, retrospective institutional review board-approved case series of vision-threatening premacular hemorrhage in NAT infants. Time to hemorrhage resolution, vision, and comorbidities were obtained. Participants in the study were 36 patients (62 eyes) with a mean age of 5.4 months (range: 2–10 months). A higher proportion of eyes in the vitrectomy group had pigmentary changes and strabismus at follow-up despite hemorrhage clearance. Most cases of NAT-related premacular hemorrhage are resolved without surgical intervention within 3 months. The visual prognosis can be limited by comorbidities.

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