ABSTRACT
The authors have recently experienced a case of traumatic retinal angiopathy of 1.5 year old child which followed immediately a relatively minor injury on the head. 5 days after the accident, external examination of both eyes appeared normal and the fundi showed retinal edema, numerous superficial whitish exudates and flame-shaped retinal hemorrhages predominantly between the disc and macula. X-ray examinations of skull and chest revealed no evidence of fracture. Complete blood cell count, urinalysis, stool and cerebrospinal fluid findings were normal limits. Abnormal neurological signs were not detected. The area of exudates gradually absorbed over a period of one month but hemorrhages were still remained around the macula. The peripheral vision seemed to be improved but central fixation remained poor. 2 months later the fundi presented optic atrophy, attenuated arterial caliberation and cherry red spot at each macula.
Subject(s)
Child , Humans , Blood Cell Count , Cerebrospinal Fluid , Exudates and Transudates , Head , Hemorrhage , Optic Atrophy , Papilledema , Prunus , Retinal Hemorrhage , Retinaldehyde , Skull , Thorax , UrinalysisABSTRACT
The authors presented the fundus findings of 25 cases with ocular lesions among 67 tuberculosis in children who were referred to our ophthalmic department from pediatric ward at Busan National University Hospital and Busan Christian Children's Hospital within a year from October 1971 to September 1972. These 67 cases were composed of 33 tuberculous meningitis, 8 hilar lymphadenopathy, 17 active pulmonary tuberculosis, 2 miliary tuberculosis and 7 tuberculous arthritis and spondylitis. The results were; 1. Of 67 tuberculosis in children 25 cases (37.3%) were shown ocular lesions, some of which were multiple. 2. 19 cases of 33 tuberculous meningitis were shown eye lesions of which cases combined with hilar lymphadenopathy or miliary tuberculosis had frequently ocular complications. 3. The common findings in fundi of tuberculosis in children were pale in optic disc and small tubercles in choroid. 4. A case of bilateral tuberculous endophthalmitis in a 3 year aged orphan was presented of which case was developed in the process of tuberculous meningitis and miliary tuberculosis.