Salmon patch maculopathy: An amblyogenic complication of pediatric sickle cell retinopathy

Purpose: To report a case of a large foveal sub-internal limiting membrane hemorrhage from sickle cell retinopathy in a pediatric patient. Observations: A five-year-old boy with sickle cell disease (SCD) type SS (HbSS) and numerous complications was referred after a failed vision screening and was f...

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Main Authors: Nitya Rao, Therese McKnight, Cynthia Norris, Drew Scoles
Format: Article
Language:English
Published: Elsevier 2024-12-01
Series:American Journal of Ophthalmology Case Reports
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Online Access:http://www.sciencedirect.com/science/article/pii/S2451993624002135
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author Nitya Rao
Therese McKnight
Cynthia Norris
Drew Scoles
author_facet Nitya Rao
Therese McKnight
Cynthia Norris
Drew Scoles
author_sort Nitya Rao
collection DOAJ
description Purpose: To report a case of a large foveal sub-internal limiting membrane hemorrhage from sickle cell retinopathy in a pediatric patient. Observations: A five-year-old boy with sickle cell disease (SCD) type SS (HbSS) and numerous complications was referred after a failed vision screening and was found to have a large yellow subacute sub-internal limiting membrane hemorrhage overlying the fovea in his right eye. There were several other peripheral salmon patches noted. Optical coherence tomography (OCT) revealed temporal inner retinal macular thinning in both eyes. Serial imaging showed rapid improvement over time of the hemorrhages, though amblyopia persisted. Conclusions and importance: We describe an unusual amblyogenic presentation of non-proliferative sickle cell retinopathy in five-year-old patient with HbSS due to a foveal salmon patch. Numerous vision-threatening complications are possible in SCD, highlighting the need for early vision screening.
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institution Kabale University
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series American Journal of Ophthalmology Case Reports
spelling doaj-art-85274c7f933d4b4494f2d1b9f18e75562024-12-18T08:50:47ZengElsevierAmerican Journal of Ophthalmology Case Reports2451-99362024-12-0136102203Salmon patch maculopathy: An amblyogenic complication of pediatric sickle cell retinopathyNitya Rao0Therese McKnight1Cynthia Norris2Drew Scoles3Scheie Eye Institute, University of Pennsylvania, Philadelphia, PA, USADivision of Hematology, Children's Hospital of Philadelphia, Philadelphia, PA, USADivision of Hematology, Children's Hospital of Philadelphia, Philadelphia, PA, USAScheie Eye Institute, University of Pennsylvania, Philadelphia, PA, USA; Department of Ophthalmology, Children's Hospital of Philadelphia, Philadelphia, PA, USA; Corresponding author. Children's Hospital of Philadelphia Division of Ophthalmology, 3401 Civic Center Boulevard Philadelphia, PA, 19104, USA.Purpose: To report a case of a large foveal sub-internal limiting membrane hemorrhage from sickle cell retinopathy in a pediatric patient. Observations: A five-year-old boy with sickle cell disease (SCD) type SS (HbSS) and numerous complications was referred after a failed vision screening and was found to have a large yellow subacute sub-internal limiting membrane hemorrhage overlying the fovea in his right eye. There were several other peripheral salmon patches noted. Optical coherence tomography (OCT) revealed temporal inner retinal macular thinning in both eyes. Serial imaging showed rapid improvement over time of the hemorrhages, though amblyopia persisted. Conclusions and importance: We describe an unusual amblyogenic presentation of non-proliferative sickle cell retinopathy in five-year-old patient with HbSS due to a foveal salmon patch. Numerous vision-threatening complications are possible in SCD, highlighting the need for early vision screening.http://www.sciencedirect.com/science/article/pii/S2451993624002135Sickle cell diseaseMacular hemorrhageSickle cell retinopathy
spellingShingle Nitya Rao
Therese McKnight
Cynthia Norris
Drew Scoles
Salmon patch maculopathy: An amblyogenic complication of pediatric sickle cell retinopathy
American Journal of Ophthalmology Case Reports
Sickle cell disease
Macular hemorrhage
Sickle cell retinopathy
title Salmon patch maculopathy: An amblyogenic complication of pediatric sickle cell retinopathy
title_full Salmon patch maculopathy: An amblyogenic complication of pediatric sickle cell retinopathy
title_fullStr Salmon patch maculopathy: An amblyogenic complication of pediatric sickle cell retinopathy
title_full_unstemmed Salmon patch maculopathy: An amblyogenic complication of pediatric sickle cell retinopathy
title_short Salmon patch maculopathy: An amblyogenic complication of pediatric sickle cell retinopathy
title_sort salmon patch maculopathy an amblyogenic complication of pediatric sickle cell retinopathy
topic Sickle cell disease
Macular hemorrhage
Sickle cell retinopathy
url http://www.sciencedirect.com/science/article/pii/S2451993624002135
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AT cynthianorris salmonpatchmaculopathyanamblyogeniccomplicationofpediatricsicklecellretinopathy
AT drewscoles salmonpatchmaculopathyanamblyogeniccomplicationofpediatricsicklecellretinopathy