Henan Provincial Eye Hospital
performed retinal detachment surgery on a child who was only 30 days old
According to this newspaper (Reporter Feng Jincan, Correspondent Xu Yingying and Yang Xin) Recently, Zhang Haitao, deputy chief physician of the Fundus Disease Center of Henan Provincial Eye Hospital, led a team to perform surgery on a child born Retinal detachment surgery was performed on newborns who were only 30 days old.
After the child was born, during a neonatal fundus screening at a local hospital, it was found that the fundus blood vessels developed abnormally and proliferative partial retinal detachment occurred. Because the child had congenital heart abnormalities, pneumonia and other symptoms, he was hospitalized in the neonatology department of the local hospital for more than 20 days. After his condition stabilized, he went to Henan Provincial Eye Hospital to see Zhang Haitao for treatment of eye lesions.
Zhang Haitao conducted a detailed examination of the child's fundus and determined that it was stage 4 familial exudative vitreoretinopathy, which was significantly worse than the tractional retinal detachment at birth. The current surgical treatment is very difficult, but if left unchecked, the child will definitely develop Total retinal detachment will occur quickly, which will not only cause blindness, but may also cause other eye complications, such as cataracts, glaucoma, etc., which will increase the pain of the children.
Zhang Haitao led the team members to analyze the advantages and disadvantages of various surgical methods based on the characteristics of the children's fundus lesions, explore various unexpected situations that may occur during the operation, and determine the surgical plan; on the other hand, due to the imperfect development of the children's whole body, Combined with congenital diseases, the risk of surgical anesthesia is high. Experts from the neonatology department and anesthesiology department are invited to consult before the operation to ensure that the child is safe during the operation.
With the active cooperation of the anesthesia and nursing team in the ophthalmic operating room of the hospital, Zhang Haitao performed the surgery on the child. The patient's review showed that the postoperative fundus proliferation and traction were significantly reduced, and the tractional retinal detachment will gradually be reduced or even reset. The condition is currently in a gradual recovery stage, and there is no risk of blindness for the time being.
According to Zhang Haitao, the child suffered from familial exudative vitreoretinopathy, which is a hereditary retinal vascular dysplasia disease. The inheritance methods include autosomal dominant, autosomal recessive, and X-linked recessive inheritance. It is common. Pathogenic genes include FZD4 gene, NDP gene, LRP5 gene, TSPAN12 gene, ZNF408 gene, etc. Some patients' fundus lesions are mild and develop slowly, with no symptoms in the early stages. In their teens or adulthood, retinal detachment occurs due to fundus holes, or they may have no ocular abnormalities throughout their lives and only develop myopia; while in some people, the lesions develop rapidly and cause retinal detachment. There are obvious fundus lesions after birth, and retinal detachment may even occur soon, which requires timely detection and treatment.
