title: Vitrectomy for dense vitreous hemorrhage in infancy.
abstract: OBJECTIVE
  To report clinical data, including etiology and visual outcome, in newborns requiring vitrectomy for dense vitreous hemorrhage.
  
  
  METHODS
  In this retrospective case series, we surveyed subscribers to the American Association for Pediatric Ophthalmology and Strabismus ListServe regarding patients under their care.
  
  
  RESULTS
  A total of 28 eyes of 21 patients were included. Most common etiologies were thrombocytopenia, shaken baby syndrome, and birth trauma. In 9 cases (12 eyes), the vitreous hemorrhage was idiopathic. Mean time between diagnosis and surgery was 1.4 months. Complications included strabismus, cataract, glaucoma, high myopia, and retinal detachment. Recognition visual acuities were available for 8 eyes: 20/25 (2 eyes), 20/30, 20/40 (2 eyes), 20/60 (2 eyes), and 20/100. One eye had no light perception.
  
  
  CONCLUSIONS
  The etiologies encountered in our patients were similar to those reported previously. Visual outcomes were much worse in cases with retinal complications. Other patients had better visual outcomes. Despite potential surgical and postoperative complications, this series demonstrates favorable visual outcomes can be achieved following early vitrectomy in this setting.
authors.affiliation: Department of Ophthalmology, Albany Medical College, Albany, New York 12208, USA.
authors.forename: John
authors.initials: J
authors.lastname: Simon
authors.forename: Shalini
authors.initials: S
authors.lastname: Sood
authors.forename: Michael K
authors.initials: MK
authors.lastname: Yoon
authors.forename: Pamela
authors.initials: P
authors.lastname: Kaw
authors.forename: Jitka
authors.initials: J
authors.lastname: Zobal-Ratner
authors.forename: Steven
authors.initials: S
authors.lastname: Archer
authors.forename: Jane A
authors.initials: JA
authors.lastname: Gardiner
authors.forename: Amy
authors.initials: A
authors.lastname: Hutchinson
authors.forename: Andreas
authors.initials: A
authors.lastname: Marcotty
authors.forename: Leon-Paul
authors.initials: LP
authors.lastname: Noel
authors.forename: Timothy W
authors.initials: TW
authors.lastname: Olsen
authors.forename: Khaled
authors.initials: K
authors.lastname: Tawansy
authors.forename: David
authors.initials: D
authors.lastname: Wallace
mesh_terms: D001720:Birth Injuries / Q000150:complications; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D012189:Retrospective Studies; D012307:Risk Factors; D038642:Shaken Baby Syndrome / Q000150:complications; D013921:Thrombocytopenia / Q000150:complications; D014792:Visual Acuity; D014821:Vitrectomy; D014823:Vitreous Hemorrhage / Q000209:etiology / Q000601:surgery*