#PAGE_PARAMS# #ADS_HEAD_SCRIPTS# #MICRODATA#

Branch retinal artery occlusion in extremely preterm newborn with Escherichia coli meningitis


Authors: Z. Straňák 1,2;  P. Korček 1,2*;  J. Širc 1,2;  P. Brychcínová 3;  A. Zobanová 3
Authors‘ workplace: Ústav pro péči o matku a dítě, Praha 1;  3. lékařská fakulta Univerzity Karlovy, Praha 2;  Soukromé oddělení dětské oftalmologie, Praha 3
Published in: Čes-slov Neonat 2022; 28 (1): 62-64.
Category: Case Reports

Overview

Branch retinal artery occlusion (BRAO) in an extremely preterm newborn with E. coli meningitis has never been described before. Authors present the BRAO as a consequence of late onset sepsis complicated by meningitis. Patient underwent standard digital imaging (RetCam Shuttle 3) for the detection of retinopathy of prematurity. The examination revealed unexpected BRAO that temporarily diminished the severity of retinopathy. However, the laser coagulopathy was indicated and subsequently performed. Retinal injury progressed to subtotal retinal atrophy and unfavorable visual prognosis. Retinal digital imaging and thorough ophthalmologic evaluation should be standard examinations in these scenarios despite mandatory protocol for retinopathy screening.

Keywords:

Meningitis – Retinopathy of prematurity – occlusion – retinal artery – retinal camera


Sources

1. Anaya-Alaminos R, Garcia-Serrano JL, Cantero-Hinojosa J. Prenatal and postnatal factors increase risk of severe ROP. J Maternal Fetal Neonatal Med 2014; 27(6): 635–636.

2. Bingen E, Bonacorsi S, Brahimi N, et al. Virulence patterns of Escherichia coli K1 strains associated with neonatal meningitis. J Clin Microbiol 1997; 35(11): 2981–2982.

3. Bottoli I, Beharry K, Modanlou HD, et al. Effect of group B streptococcal meningitis on retinal and choroidal blood flow in newborn pigs. Invest Ophthalmol Vis Sci 1995; 36(7): 1231–9.

4. Jaremko JL, Moon AS, Kumbla S. Patterns of complications of neonatal and infant meningitis on MRI by organism: A 10 year review. Eur J Radiol 2011; 80(3): 821–7.

5. Jayadev C, Vinekar A, Bauer N, Mangalesh S, Mahendradas P, Kemmanu V, et al. Look what else we found - clinically significant abnormalities detected during routine ROP screening. Indian J Ophthalmoly 2015; 63(5): 373–377.

6. Ozer PA, Kabatas EU, Kurtul BE, et al. A rare cause of retinal artery occlusion in severe hypernatremic dehydration in newborns. Ophthalmic Surg Lasers Imaging Retina 2016: 47(5): 482–485.

7. Roth DB, Morales D, Feuer WJ, Hess D, Johnson RA, Flynn JT. Screening for retinopathy of prematurity employing the retcam 120: Sensitivity and specificity. Arch Ophthalmol 2001; 119(2): 268–72.

8. Salcone EM, Johnston S, VanderVeen D. Review of the use of digital imaging in retinopathy of prematurity screening. Semin Ophthalmol 2010; 25(5–6): 214–7.

9. Varma DD, Cugati S, Lee AW, et al. A review of central retinal artery occlusion: Clinical presentation and management. Eye 2013; 27(6): 688–97.

10. Weissman HM, Biousse V, Schechter MC, et al. Bilateral central retinal artery occlusion associated with herpes simplex virus-associated acute retinal necrosis and meningitis: case report and literature review. Ophthalmic Surg Lasers Imaging Retina 2015; 45(2): 279–283.

Labels
Neonatology Neonatal Nurse
Topics Journals
Login
Forgotten password

Enter the email address that you registered with. We will send you instructions on how to set a new password.

Login

Don‘t have an account?  Create new account

#ADS_BOTTOM_SCRIPTS#