First Author: N.Sahinoglu Keskek TURKEY
Co Author(s): I. Akkoyun G. Yilmaz
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The aim of this study is to present two mature infants with anal atresia who had proliferative vascular disease mimicking ROP.
Baskent University Faculty of Medicine, Department of Ophthalmology, Adana, Turkey
Two babies were consulted to ophthalmology department. The first case was a male infant with a gestational age of 37 weeks who was previously treated for anal atresia in paediatric surgery clinic and presented to ophthalmology clinic with suspicion of low vision. At the age of 6 months, the ophthalmological examination of the baby revealed Grade 5-ROP. The second case was also a male mature infant with gestational age of 39 weeks and birth weight of 3500 grams diagnosed with anal atresia and was consulted to ophthalmology department 2 weeks after birth. There was not any risk factors like respiratory distress syndrome, sepsis or transfusion. Ophthalmological findings revealed poorly dilating pupils, rubeosis iridis and fundus findings of Type-1 ROP. Laser photocoagulation(LC) was carried out in two different sessions to achieve regression of the disease.
We presented two cases with anal atresia who have retinal vascular disorder mimicking ROP. The disease in the first case was resulted in clinical finding like Grade-5 ROP. In the second case we were able to see the clinical findings of Type I ROP at early stages. Two weeks after LC, Type-1 ROP findings including plus disease and intraretinal haemorrhages and anterior segment findings regressed in both eyes.
The presented cases may be a genetic disorder including anal atresia and ROP-mimicking vascular disease. To our knowledge this is the first report to define such disorder. Ophthalmologists should be aware that retinal vascular diseases may occur in term infants who has anal atresia and routine ophthalmologic examination is necessary for early diagnosis and treatment.