Doctor insights on:
Retinopathy In Children
Can children get diabetic retinopathy? I think that diabetic retinopathy usually only happens after you've had diabetes for years, but my son has had it since he was 5. He's 15 now, so is he at higher risk? .
Yes, they can. Fortunately, it turns out that earlier onset of type 1 diabetes is associated with a lower risk of retinopathy even after years of the disease as compared to children with onset of diabetes after puberty. But the longer anyone has diabetes and the worse the glucose control the higher the risk.
But it would be distinctly uncommon for him to have retinopathy at this age however. The challenge is for him to take charge of his diabetes since as a parent, especially at this age, one can only do so much. Jdrf may be of help in your area. ...Read more
Many things: Csr is an eye disease which causes visual impairment, often temporarily, usually in one eye, mostly affecting males in the age group 20 to 50 but which may also affect women. This condition may be caused by the use of cortisol or corticosteroids. Csr is a fluid detachment of macula layers from their supporting tissue allowing choroidal fluid to leak into the subretinal space. ...Read more
Eye exam: Retinopathy of prematurity is not to be neglected. An infants retinal blood vessels may take time to mature. As they mature, a retinal specialist must follow the maturation to ensure normal progression. Abnormal blood vessel growth can threaten vision. Fortunately, treatment is available via laser, surgery and injectable medications. ...Read more
Talk to the: Baby's ophthalmologist. Discuss your concerns and ask about the future for the baby. ...Read more
Oxygen: The care of premature birth babies is a battle between things known to increase survival including oxygen administration versus the risk of this life-saving oxygen cause retinopathy. No intervention is as good as oxygen and so this is an assumed risk. Treatment for this is possible including bevicizumab. ...Read more
Time: Serous retinopathy, also termed central serous maculopathy, is a condition of unknown origin which causes the central vessels to leak fluid, raising the retina in that area, and causing a distortion or lowering of the vision. Treatments such as steroids have been proven not to work and may be detrimental. Most cases spontaneous improve over a six month interval and laser might melp. ...Read more
See below: Other than recommended follow up with an ophthalmologist, there is nothing you can do, sorry. ...Read more
Earlier age of birth: The care of premature birth babies is a battle between things known to increase survival including oxygen administration versus the risk of this life-saving oxygen cause retinopathy. No intervention is as good as oxygen and so this is an assumed risk. Treatment for this is possible including bevicizumab. ...Read more
Complication: Pvr is the most common cause of failure for retinal detachment surgery. Some patients have a very active healing response which creates scar tissue that pulls the retina back off. Once pvr occurs, it needs to be treated with vitrectomy and possibly a buckle and silicone oil. It is possible that multiple surgeries will be needed to stabilize the retina. ...Read more
Premature birth!: The cause is due to premature birth and possibly use of high oxygen concentration for breathing in premature infants. The retina is not fully developed and vascularized in the periphery and exposure to the air causes the peripheral retina to not vascularize, which can cause contraction, scarring and possible retinal detachment. ...Read more