Patient's question:
Main symptoms: Fuzzy retina fundus onset time: A few days ago laboratory test results:Doctor's answer:
You have provided too little information. Let me introduce you to some common retinal diseases in children for your reference.1. Congenital retinal abnormalities. This condition is more common in males and tends to affect one eye. The child's vision is usually normal, but there may be visual field defects in areas with myelinated nerve fibers. The fundus examination may reveal myelinated nerve fibers, which are often located around the optic disc, appearing as opaque white patches with feather-like edges, consistent with the course of the nerve fiber layer.
2. Retinopathy of prematurity. Immature retinal blood vessels can constrict and become obstructed in a high-oxygen environment. When exposed to relatively low oxygen levels, these vessels dilate and produce neovascular proliferation, leading to retinal disease. Premature infants who have received high-oxygen treatment are at risk of this condition.
3. Coats disease. Also known as exudative retinopathy, this is a congenital abnormality of retinal capillaries. However, this disease is more common in male children aged 8–12.
4. Hereditary retinal degeneration. This is a slow-progressive bilateral fundus disease, including the following types:
- Retinitis pigmentosa. Early symptoms include nyctalopia (night blindness) and visual field constriction, with vision loss typically occurring in later stages. The fundus examination may show retinal pigmentary disturbance, initially appearing in the equatorial region and gradually progressing to near-total retinal involvement, excluding the macula.
- Choroideremia. Characterized by slow-progressive bilateral vision loss, photophobia, better vision in the evening compared to daytime, color vision defects, and nystagmus.
- Stargardt disease. This condition typically affects individuals aged 8–15. The three conditions above do not match the age of your child's condition and can likely be ruled out.
Additionally, Leber congenital amaurosis. Infants with this condition have severely impaired or even complete visual function at birth or shortly after, unable to fixate or follow light. They often exhibit photophobia and symptoms of eye pressure. Fundus examination may show nystagmus and sunken eyes. In early stages, the fundus may appear normal, but later, pigment changes and signs of retinal pigmentary degeneration may develop.
5. Systemic diseases and abnormalities with retinal manifestations, such as juvenile diabetes, leukemia, chronic or subacute diffuse glomerulonephritis with hypertension, etc. However, since your child is only 26 days old, these conditions can also be ruled out.
I recommend taking your child to Beijing Tongren Hospital for examination and treatment. This hospital is the best ophthalmology hospital in Beijing.