學院

醫學院

系所

職能治療學系

題名

Neonatal Candidemia Exacerbated the Progression of Retinopathy of Prematurity in an Extremely-Low-Birth-Weight Infant with Persistent Tunica Vasculosa Lentis

作者

Ching-ju Hsieh, Keh-chung Lin, and Jung-Sen Liu

期刊名稱

Ophthalmic Surgery, Lasers and Imaging (DOI: 10.3928/15428877-20090201-12) (SCI期刊)

發表日期

2010年

著作性質

原始論著

語文

英文

關鍵字

Neonatal Candidemia, Retinopathy of Prematurity, Tunica Vasculosa Lentis, Laser Treatment

摘要

Eyes with threshold retinopathy of prematurity (ROP) often show dilation of the existing tunica vasculosa lentis (TVL), which is a prognostic factor in ROP screening and treatment, but can be frequently misdiagnosed as true iris neovascularization (NV). Besides, candidemia in preterm infants can aggravate the severity of ROP, possibly to the threshold stage requiring laser treatment. We report a case of prolonged candidemia without ophthalmic infection in an extremely-low-birth-weight (ELBW) (birth weight: 800 g), preterm (gestation: 26 weeks) infant with persistent TVL and severe ROP. The threshold ROP was successfully treated with argon laser therapy. Candidemia without eye infection in this case was associated with early use of a systemic antifungal drug. To our knowledge, no similar cases have been reported in the literature.