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NR 10-12/2006
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Odwarstwienie
siatkówki jako możliwe powikłanie po szczepieniu BCG w przebiegu
retinopatii wcześniaczej – opis przypadku
The detachment of retina as
possible complication after BCG vaccination during ROP –
description of case
Monika Modrzejewska1, Danuta
Karczewicz1, Agnieszka Kordek2, Jacek
Rudnicki2, Ryszard Czajka2
1 Z Katedry i Kliniki Okulistyki Pomorskiej Akademii
Medycznej w Szczecinie
Kierownik: prof. dr hab. n. med. Danuta Karczewicz
2 Z Katedry i Kliniki Położnictwa i Perinatologii
Pomorskiej Akademii Medycznej w Szczecinie
Kierownik: prof. dr hab. n. med. Ryszard Czajka |
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| Summary: |
Purpose: The
authors described the rare case of the progression of
changes in the retina of child in course of retinopathy
of prematurity. It happened after finished
laser-treatment and full regression of changes of the
retina. It seems that BCG vaccination done in 3-th month
of life could reactivate the disease of the retina which
caused total retina detachment of both eyes.
Material and methods: The ophthalmologic
examination included: indirect ophthalmoscopy using
Fisson ophthalmoscope, slit-lamp examination and USG
B-mode examination, using USG Echo Scan 3300 Oculus with
the head 10 MHz – performed during all control visits.
Results: The regular ophthalmologic examination
enabled estimation of the dynamic of changes in the
retina and correctness of treatment. In author’s opinion,
the secondary retina detachment in 3-th month of life
could be associated with reaction post BCG vaccination.
Conclusions: Probably secondary inflammation
after BCG vaccination could be the reason of
reactivation of earlier treated with good results ROP.
Possible vision complications should incline to take
special ophthalmologic care of premature infants from
high risk group (very low mass of the body or fetal
immaturity). Decision of changing time of BCG
vaccination in such group should be made by attending
physician. |
| Słowa kluczowe: |
retinopatia wcześniaków,
odklejenie siatkówki, szczepienie BCG. |
| Key words: |
retinopathy of prematurity
(ROP), detachment of retina, vaccination of BCG. |
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