Sudden Vision Loss in Children Linked to Cold-Related Fever: JAMA
China: Chinese researchers have identified a possible new condition after observing sudden and severe bilateral vision loss in eight children following fever related to colds. The condition, marked by retinal dysfunction, showed signs of gradual improvement. This finding highlights a potential connection between viral infections and temporary vision impairment in children.
The case series, published in JAMA Ophthalmology, has brought attention to a previously underrecognized retinal condition in pediatric patients, termed hyperacute outer retinal dysfunction (HORD). This condition is characterized by sudden vision loss following fever, accompanied by distinct retinal abnormalities observed in imaging studies. The findings emphasize further research to understand its pathophysiology and optimal treatment strategies.
Recognizing patterns in pediatric retinal diseases is crucial in streamlining diagnostic evaluations and guiding prognosis. In this context, Yizhe Cheng, Guangdong Provincial Clinical Research Center for Ocular Diseases, Guangzhou, China, and colleagues aimed to characterize the clinical features, retinal imaging findings, and one-year prognosis of pediatric patients who experienced sudden, severe bilateral vision loss following fever, marked by diffuse disruptions in the ellipsoid zone (EZ) and external limiting membrane (ELM).
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