Odwarstwienie siatkówki jako możliwe powikłanie po szczepieniu BCG w przebiegu retinopatii wcześniaczej – opis przypadku

Purpose
The authors described the rare case of the progression of changes in the retina of child in course of retinopathy of prematurity. It happened after finished laser-treatment and full regression of changes of the retina. It seems that BCG vaccination done in 3-th month of life could reactivate the disease of the retina which caused total retina detachment of both eyes.

Material and methods
The ophthalmologic examination included: indirect ophthalmoscopy using Fisson ophthalmoscope, slitlamp examination and USG B-mode examination, using USG Echo Scan 3300 Oculus with the head 10 MHz – performed during all control visits.

Results
The regular ophthalmologic examination enabled estimation of the dynamic of changes in the retina and correctness of treatment. In author’s opinion, the secondary retina detachment in 3-th month of life could be associated with reaction post BCG vaccination.

Conclusions
Probably secondary inflammation after BCG vaccination could be the reason of reactivation of earlier treated with good results ROP. Possible vision complications should incline to take special ophthalmologic care of premature infants from high risk group (very low mass of the body or fetal immaturity). Decision of changing time of BCG vaccination in such group should be made by attending physician.