Sequential Retinal Hemorrhages in an Asymptomatic Child

An asymptomatic 4-year-old girl with an unremarkable past medical history was seen in the pediatric ophthalmology clinic after failing her school vision test. On examination, her visual acuity was 20/32 and 20/25 in right and left eyes, respectively. The left retina appeared healthy, and the right macula showed intra-retinal hemorrhage. One week later, her right acuity decreased to 20/125. Widefield fundus photography showed multiple white-centered hemorrhages with tortuous retinal vessels in both eyes (Figure).

Source: The Journal of Pediatrics - July 28, 2020 Category: Pediatrics Authors: Derek K-H. Ho, Sami Khan, Raina Goyal Tags: Insights and Images Source Type: research