부산대학교 도서관

Purpose: In this study our aim is to evaluate asymptomatic peripheral retinal ischemia cases detected in pediatric routine ophthalmologic examination. Material-Methods: 6 patients in between 6 to 12 years who underwent routine ophthalmological examination were included. Peripheral retinal ischemia and retinal neovascularization were observed in dilated fundus examination of all patients. All patients underwent fundus fluorescein angiograpy (FFA) and spectral domain optical coherence tomography (SD-OCT). Argon laser photocoagulation or intravitreal anti-vascular endothelial growth factor (anti-VEGF) injection was performed in required cases. Results: Mean age was 8.8±2.3 (6-12) years. Two of six patients were siblings. Three patients were diagnosed with incontinenta pigmenti. Detailed history revealed preterm birth in two patients and retinopathy of prematurity examination has not been performed. One patient was diagnosed with sickle cell anemia. Argon laser photocoagulation was performed in 4 patients, intravitreal anti-VEGF treatment was performed in 1 patient and 1 patient was followed-up without any treatment. No complications such as vitreous hemorrhage due to neovascularization were observed in any of the patients in 1 year follow-up period. Conclusion: Detailed retinal examination is an important component of pediatric ophthalmological examination. If a retinal pathology is detected, appropriate diagnostic tests and treatment should be performed to diagnose the primary disease and prevent possible complications. Since retinal findings may be the first sign of many systemic diseases, detailed systemic evaluation is very important in these patients. [ABSTRACT FROM AUTHOR]