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Prevalence of retinal hemorrhages in infants after extracorporeal membrane oxygenation

, : Prevalence of retinal hemorrhages in infants after extracorporeal membrane oxygenation. American Journal of Ophthalmology 121(3): 297-303

PURPOSE: To determine the prevalence of vision-threatening retinal hemorrhages in infants after venoarterial extracorporeal membrane oxygenation, and possible correlation between retinal hemorrhages and brain hemorrhages, thrombocytopenia, carotid reanastomosis, or death after extracorporeal membrane oxygenation. METHODS: We reviewed the findings of dilated ophthalmoscopic examinations performed on 37 children an average of 16 days after extracorporeal membrane oxygenation (35 neonates and two 1-year-old children). RESULTS: Five (13%) of the 37 children examined had small ( ltoreq 1 disk diameter) intraretinal hemorrhages. Presence or absence of retinal hemorrhages did not correlate with presence of cerebral hemorrhage, mean platelet count during extracorporeal membrane oxygenation, a history of reanastomosis of the carotid artery, or subsequent death. CONCLUSION: Retinal hemorrhages observed after extracorporeal membrane oxygenation are not necessarily caused by extracorporeal membrane oxygenation; some hemorrhages may be benign and related to parturition. Children who undergo venoarterial extracorporeal membrane oxygenation are at low risk for vision-threatening retinal hemorrhage.


PMID: 8597273

DOI: 10.1016/S0002-9394(14)70278-8

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