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Examination induced retinal haemorrhage in preterm infants is uncommon. It may occur independently of retinopathy of prematurity (ROP) associated neovascularisation. Retinal haemorrhages due to ROP tend to occur on the surface of the neovascular ridge, which represents an arteriovenous shunt formed by the anastomosis of primitive retinal vessels.1 However, ROP related retinal haemorrhages occurring posteriorly,2 as well as vitreous haemorrhage,3 have also been described in advanced disease. Other common causes of retinal haemorrhage in infancy such as birth4 and shaken baby syndrome should be excluded. Retinal haemorrhage in a premature infant after RetCam photography has been reported.5 We report retinal haemorrhages in a premature infant immediately following examination for ROP.
A 1416 g, 33 week gestation infant was transferred to our centre after developing necrotising enterocolitis at 6 days old. Ventilatory support was required briefly following …