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."
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