TY - JOUR
T1 - Ophthalmologic findings in abusive head trauma
AU - Jain, Disha
AU - Le, Lien
AU - Kissoon, Natalie
N1 - Publisher Copyright:
© 2024
PY - 2024/7
Y1 - 2024/7
N2 - A leading cause of death and disability in infancy is abusive head trauma (AHT) and there are common clinical signs that help to establish this diagnosis. Children diagnosed with AHT can have many ophthalmologic findings, including retinal hemorrhages, retinoschisis, subconjunctival hemorrhages, corneal injury, and globe rupture. If any such injuries are suspected, an ophthalmologic consultation, with indirect ophthalmoscopy, should be completed. In addition to a complete physical exam, a thorough history imaging, and lab work, should be obtained to investigate the etiology of ophthalmic pathology including accidental and systemic causes. In general, studies show that retinal hemorrhages that are multilayered, too numerous to count, and located from the posterior pole to the ora serrata are highly suspicious for abusive head trauma.
AB - A leading cause of death and disability in infancy is abusive head trauma (AHT) and there are common clinical signs that help to establish this diagnosis. Children diagnosed with AHT can have many ophthalmologic findings, including retinal hemorrhages, retinoschisis, subconjunctival hemorrhages, corneal injury, and globe rupture. If any such injuries are suspected, an ophthalmologic consultation, with indirect ophthalmoscopy, should be completed. In addition to a complete physical exam, a thorough history imaging, and lab work, should be obtained to investigate the etiology of ophthalmic pathology including accidental and systemic causes. In general, studies show that retinal hemorrhages that are multilayered, too numerous to count, and located from the posterior pole to the ora serrata are highly suspicious for abusive head trauma.
KW - Non-accidental trauma
KW - Ocular injury
KW - Retinal hemorrhages
KW - Visual outcomes
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U2 - 10.1016/j.spen.2024.101141
DO - 10.1016/j.spen.2024.101141
M3 - Review article
C2 - 38964817
AN - SCOPUS:85193009637
SN - 1071-9091
VL - 50
JO - Seminars in Pediatric Neurology
JF - Seminars in Pediatric Neurology
M1 - 101141
ER -