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This abstract is assigned to session SBO-BOG Posters session >> in Poster area - Foyer +1

Title

Vitrectomy for premacular haemorrhagic cyst in shaken baby syndrome.

Purpose	To discuss the surgical treatment of premacular haemorrhagic cysts in shaken baby syndrome.
Methods	Case report and review of the literature.
Results	A 4-month-old female infant with shaken baby syndrome presented with bilateral premacular haemorrhages. Fixation of light was unstable and nystagmus was present. Because of the high risk of amblyopia due to visual deprivation, vitrectomy was performed bilaterally. After posterior vitreous membrane detachment and drainage of the premacular haemorrhage, the premacular membrane was excised in the area of the cyst. During left eye surgery whitening of the macula (as in Purtscher retinopathy), and a tuft of new vessels with fibrous proliferation on the optic disc were observed. Two months after surgery the infant demonstrated visual attention, both retinas were attached, but the left optic disc was pale, suggesting optic atrophy.
Conclusion	Vitrectomy for premacular haemorrhagic cysts in infants can offer visual rehabilitation especially when both eyes are affected. Retinal ischemia in a confined space as a possible cause of the observed disc new vessels is hypothesized.

Author 1

Last name	SMETS
Initials	RME
Department	Department of Ophthalmology, University Hospital Antwerp
City	Edegem

Author 2

Last name	De Veuster
Initials	I
Department	Department of Ophthalmology, University Hospital Antwerp
City	Edegem