RESUMO
PURPOSE: To evaluate the intraocular pressure (IOP) and central corneal thickness (CCT) in premature low birth weight (LBW) infants and their correlation with gestational age (GA). METHODS: IOP and CCT were measured in premature LBW infants (defined as a birth weight ≤ 1,500 g or birth GA ≤ 30 weeks) admitted to the neonatal intensive care unit at the University of Florida Division of Neonatology, UF Health Jacksonville. RESULTS: Ninety eyes of 45 premature LBW infants with mean birth GA of 28.2 ± 2.3 weeks and mean birth weight of 1,131.5 ± 380.1 g were evaluated. The mean IOP and CCT were 29.0 ± 9.0 mm Hg and 660.0 ± 65.0 µm, respectively. There was no correlation between the IOP and CCT (r = 0.09; P = .38). There was a negative correlation between IOP and GA (r = -0.41) and between CCT and GA (r = -0.26). CONCLUSIONS: IOP is higher and CCT is thicker in premature infants compared to adults; however, there was no correlation between IOP and CCT. [J Pediatr Ophthalmol Strabismus. 2016;53(5):300-304.].
Assuntos
Recém-Nascido de Baixo Peso/fisiologia , Recém-Nascido Prematuro/fisiologia , Pressão Intraocular/fisiologia , Peso ao Nascer , Pré-Escolar , Córnea/anatomia & histologia , Paquimetria Corneana , Feminino , Idade Gestacional , Humanos , Lactente , Masculino , Nascimento Prematuro , Valores de Referência , Tonometria OcularAssuntos
Neoplasias Faciais , Hemangioma Capilar , Neoplasias Orbitárias , Anti-Hipertensivos/uso terapêutico , Criança , Pré-Escolar , Neoplasias Faciais/diagnóstico , Neoplasias Faciais/patologia , Neoplasias Faciais/terapia , Feminino , Hemangioma Capilar/diagnóstico , Hemangioma Capilar/patologia , Hemangioma Capilar/terapia , Humanos , Lactente , Masculino , Procedimentos Cirúrgicos Oftalmológicos , Neoplasias Orbitárias/diagnóstico , Neoplasias Orbitárias/patologia , Neoplasias Orbitárias/terapia , Esteroides/uso terapêuticoRESUMO
About 80% of cat-scratch disease (CSD) infections occur in children, and CSD neuroretinitis (optic neuropathy with retinal exudates in a "macular star" pattern) mostly occurs in children and young adults. A recent study suggested that CSD optic neuropathy has specific features on MR imaging. However, MR imaging findings in CSD neuroretinitis are not well described in the pediatric literature. We present a patient with CSD neuroretinitis in whom these specific MR imaging features preceded the macular star, a funduscopic finding strongly suggestive of neuroretinitis. This case demonstrates how knowledge of these features is important in the appropriate diagnostic work-up of optic neuropathy. MR imaging also incidentally revealed neuritis of another cranial nerve in the auditory canal-a rare manifestation of CSD.