This ophthalmoscopic finding shows a "dragged optic disc" in the eye of a 10-year-old poorly sighted child. What are you seeing?
Incorrect. In advanced stages, diabetic retinopathy can cause fibrovascular proliferation, but a pre-retinal fibrovascular band that drags the optic disc, as you see here, is not typical of diabetic retinopathy. Try again.
Incorrect. Sickle cell disease can cause retinal bleeding or detachment based on peripheral retinal ischemia owing to clumping of red blood cells in small retinal arterioles. The ischemic areas appear as round, orange patches or as “seafans” in the peripheral retina. The pre-retinal fibrous band you see here does not occur in sickle cell retinopathy. Try again!
Correct. Retinopathy of prematurity is fibrovascular proliferation in the retina of prematurely-born infants. Believed to result from exposure of immature retina to high incubator oxygen levels, this condition may eventually lead to fibrovascular proliferation that drags the optic disc in the way you see here. Untreated disease may advance to retinal detachment. Early findings occur in the retinal periphery and are therefore difficult to detect. Low birth weight and premature infants must be screened with skilled indirect ophthalmoscopy in the nursery and weeks later. Preventive therapy is often very effective.
Incorrect. Retinoblastoma, the most common intraocular tumor of childhood, produces white, nodular masses often detected when they turn the normal pupillary red reflex to a white reflex (also called “leukocoria” or “cat’s eye reflex”). It has no association with prematurity. Try again!