Description
Springer Perinatal Retinal Haemorrhages Morphology Aetiology and Significance 1st Editon 2012 Softbound by B. von Barsewisch
Retinal haemorrhage occurring during birth is a common feature in the newborn. There is no basic funduscopic or morphologic difference between this perinatal type of haemorrhage and that in the adult. The difference is that perinatal haemorrhage resorbs rapidly, within a few days, and no functional defects of retinal vessels are known. The fIrst observation of perinatal haemorrhage took place nearly 100 years ago. Many observations have been published in short papers; what was still lacking was a systematic pathogenic classifIcation of the different types of haemorrhage, a compari son of the perinatal type of other types of retinal haemorrhage, a comparison to other perinatal ocular haemorrhages, a detailed histologic description and a multi-faceted correlation of haemorrhage to aetiologic factors. The author has based his comprehensive evaluation on the observation of more than 400 newborn infants, the reexamination of several cases with macular haemor rhage, the histologic work-up of serial sections and the review of extensive literature. It is a remarkable fact that a physiologic process, birth, is related to this type of vessel rupture, which is present during a short period of postnatal life. In its complex analysis of these facts and conditions this book is particularly valuable. I. The First Observation.- A. Königstein or von Jaeger?.- B. Ely.- C. Summary.- II. Material and Methods.- A. Ophthalmoscopy.- B. Fundus Photography.- C. Histology.- D. Clinical Follow-Up.- E. Summary.- III. Morphology.- A. Intraretinal Haemorrhages.- B. Extraretinal Haemorrhages.- C. White Fibrin Thrombi of Vessel Ruptures and Fibrin Emboli in Retinal Vessels.- D. Summary.- IV. Location.- A. Clinical Reports.- B. Histology.- C. Macular Haemorrhage.- D. Bilaterality.- E. Summary.- V. Clinical Course.- A. Onset.- B. Resorption.- C. Postnatal Extension.- D. Summary.- VI. Numerical Data.- A. Quantitative Evaluation.- B. Incidence.- VII. Aetiology.- A. Types of Delivery.- B. Maternal Factors.- C. Infantile Factors.- D. Haemorrhagic Disease of the Newborn: Attempted Treatment.- E. Comparable Retinal Haemorrhages of Other Origin.- F. Correlation with Other Perinatal Haemorrhages.- G. Aetiology and Pathogenesis.- VIII. Significance.- A. Evaluation of Different Types of Delivery.- B. Retinal and Intracranial Haemorrhages.- C. Retinal Haemorrhages and Amblyopia.- IX. Conclusion.- X. Appendix.- A. Plates.- B. The First Description.- C. Bibliographic Notes.