Retinal angiopathy in a child
Last reviewed: 23.04.2024
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One of the signs that a child can be diagnosed with angiopathy is an increase in intracranial pressure. Usually, the child receives this diagnosis due to birth trauma or other reasons for complicated birth. Retinal angiopathy in a child is not a common disease.
This disease in children is characterized by the modification of capillaries and larger vessels in the eyes according to the exact same scheme as in adults. In children, the symptoms of the disease are almost not apparent, so it is impossible to put the necessary diagnosis on time and prescribe the appropriate treatment. Only when one or both eyes are injured, as well as the head, the eyeball is stained with a red mesh of damaged vessels. And only this sign can serve as a signal to check the condition of the fundus. Although injuries that lead to disturbances in the vessels of the fundus, pain can occur, reduced visual acuity and symptoms of hypoxia.
To begin treatment, it is necessary to find out the reason, when there were signs of angiopathy. As in adults, the child's variant of the disease is found because of complications from the existing illnesses in the body or traumas. Therefore, the types of vascular complications are hypertonic, diabetic, hypotonic, traumatic or juvenile. The diabetic form of the disease is very difficult to treat, as these two diseases are linked, and diabetes mellitus is usually not treated. The juvenile kind of illness is incurable due to its incomprehensible etiology. The hypertonic and hypotonic forms of the disease are amenable to adjustment if the symptoms of the underlying disease are neutralized and the pressure is normalized.
Retina angiopathy in the newborn
With the diagnosis of retinal angiopathy, more and more young parents are now facing newborns. But do not be nervous before the time, because this situation is not exactly like that. We'll figure it out and calm our parents about this.
So, the diagnosis is made by the oculist on the basis of examination of the fundus of the newborn. In this case, the specialist observes the plethora of veins located in the retina of the eye. This state of the eye vessels is explained by the increased intracranial pressure of the baby, which is not so common in infants.
Specialists, diagnosing an increase in intracranial pressure in infants, rely on data from the examination of the fundus. In this case, one can observe only a part of the optic nerve, its section is round or oval. Near the nerve towards the surface of the retina are the blood vessels, which are represented by veins and arteries. They help to get nutrition and oxygen in the retina.
If the infant has intracranial hypertension, then the edema of the optic nerve can be formed, which changes the shape of the nerve disc observed when examining the fundus. After that, the veins and arteries shrink under the influence of the enlarged nerve, and the arterial blood begins to fall into a smaller volume in the retina. Venous blood, respectively, begins to flow not all that widens the veins and causes them to wriggle.
Accordingly, we can distinguish the following stages that are observed by the doctor:
- deformation of the optic nerve,
- process of narrowing of arteries,
- process of expansion of veins.
But retinal angiopathy in infants should not be identified only with full-blooded veins. The fact is that this complication is the defeat of the structure of the vessels, which occurred due to the violation of nervous regulation. The fullness observed in the veins can be caused by the position of the child - standing or lying, as well as the physical exertion undertaken before this. In addition, we can not speak of the state of the vessels of the newborn as a permanent phenomenon.
Angiopathy of retina in infants
Angiopathy of the retina in the infant is a controversial and questionable diagnosis. Most often, doctors incorrectly diagnose the condition of the baby's eye bottom, relying only on the data on the fullness of the veins, the narrowing of the arteries, and the appearance of curvature of the venous vessels. It should be remembered that with angiopathy there are changes in the structure of the vessels, which are expressed in the lesions of the tissues. All this little children can not ascertain. In addition, most often with repeated examinations after a while the diagnosis is removed, which means that it was incorrectly staged at the very beginning.
It can be said that in our territory in the post-Soviet countries this diagnosis among infants is very common, but in European countries it is absent altogether. This is due to the fact that the equipment of ophthalmologists allows you to see the fundus in great detail and to refute the controversial diagnosis.
Juvenile retinal angiopathy
Juvenile angiopathy of the retina, called otherwise Ilza's disease, is not fully explored disease, since the nature of its occurrence is not known. This type of problem with the vessels is considered the most unfavorable because of a lack of understanding of the causes of its appearance, as well as the serious consequences that this dysfunction exerts on the eyesight.
There is a disease in young men. In this case, peripheral vascular lesions of the retina are observed, and changes occur necessarily in two eyes.
This type of illness is manifested as follows:
- inflammatory processes in the vessels of the eyes, most often in the venous,
- the appearance of frequent hemorrhages, which are directed both into the retina and the vitreous of the eye,
- in some cases a connective tissue forms on the retina of the eye.
All of the above changes and processes lead to the formation in the eyes of rubeosis iris, cataracts and neovascular glaucoma. Also, detachment of the retina can be observed. These complications inevitably affect the patient's ability to see the world around him, that is, after a while lead the patient to blindness.
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