The authors report a rare case of pediatric central retinal artery occlusion (CRAO) and spontaneous late recovery, with associated literature review. A retrospective review of patient medical records and literature search of four relevant databases was conducted. A 7-year-old girl with sudden, painless loss of vision in her right eye was referred to the authors' center where she was found to have a CRAO with hand motion visual acuity. One month later, the patient developed multiple retinal hemorrhages throughout the fundus. Despite undergoing extensive investigations, a cause for her condition was not determined. Seventeen months after the original event, the patient regained a visual acuity of 20/40. A CRAO in the pediatric population is relatively rare and requires extensive investigation into the potential cause. Compared to adult CRAO, presentation in the pediatric age group should warrant a high index of suspicion and extensive work-up to treat any underlying systemic conditions and possibly prevent involvement of the other eye. [J Pediatr Ophthalmol Strabismus. 2023;60(6):e70-e74.].

中文翻译：

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小儿视网膜中央动脉阻塞的自发晚期视力恢复：病例报告和文献综述。

作者报告了一个罕见的儿童视网膜中央动脉闭塞（CRAO）和自发性晚期恢复的病例，并进行了相关文献综述。对患者病历进行回顾性审查，并对四个相关数据库进行文献检索。一名 7 岁女孩的右眼突然出现无痛性视力丧失，被转至作者中心，在那里她被发现患有具有手部运动视力的 CRAO。1个月后，患者出现眼底多处视网膜出血。尽管进行了广泛的调查，但仍未确定她病情的原因。最初事件发生 17 个月后，患者的视力恢复到 20/40。CRAO 在儿科人群中相对罕见，需要对潜在原因进行广泛调查。与成人 CRAO 相比，儿童年龄组的表现应引起高度怀疑并进行广泛的检查，以治疗任何潜在的全身性疾病，并可能防止另一只眼睛受累。[J 小儿眼科斜视。2023；60(6):e70-e74。]。