Clinical Practice Today: Abnormal Retinal Vascularization

Clinical Practice Today is a monthly newsletter from Duke Health

Quick Case Challenge

During screening for preterm infants, an infant born at 31 weeks of gestational age was observed to have abnormal retinal vascularization suggestive of retinopathy of prematurity (ROP). To slow and eliminate the growth of abnormal blood vessels, an ophthalmologist performed laser photocoagulation. However, the patient did not have adequate response, and the procedure had to be repeated 3 months later.

After the second round of treatment, the patient developed epiretinal scar tissue and bleeding in her left eye (Figure 1). She was referred to the Pediatric Retina and Optic Nerve Center at the Duke Eye Center to remove the scar tissue.

Question: What condition, often misdiagnosed as ROP, did the patient have, and how was it eventually diagnosed?

Read the Case Study and Conclusion 

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