The relationship, if any, between intraretinal hemorrhages (IRH) and cardiopulmonary resuscitation (CPR) in pediatric patients is unclear. We describe an infant who developed bilateral IRH immediately following CPR. This case is unique in that the infant was examined by 2 retinal specialists (K.-G.A.E. and D.J.P.) immediately before and following CPR, with the interval between the 2 examinations being approximately 2 hours.....
Our case suggests that an association between CPR and IRH exists, although the immature retinal vasculature and ROP in our infant may have been predisposing factors. We suggest that the possible association of CPR with IRH in former preterm infants with ROP should be considered before categorically concluding that there must be child abuse. We cannot determine from this case if the vascular predisposition to bleed is temporary or may last throughout childhood in these infants.
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http://archopht.jamanetwork.com/article.aspx?articleid=266595
Our case suggests that an association between CPR and IRH exists, although the immature retinal vasculature and ROP in our infant may have been predisposing factors. We suggest that the possible association of CPR with IRH in former preterm infants with ROP should be considered before categorically concluding that there must be child abuse. We cannot determine from this case if the vascular predisposition to bleed is temporary or may last throughout childhood in these infants.
See source for full article
http://archopht.jamanetwork.com/article.aspx?articleid=266595