P Watts1, E Obi. 1. Department of Ophthalmology, University Hospital of Wales, Cardiff, Wales, UK. patrick.watts@cardiffandvale.wales.nhs.uk
Abstract
AIMS: To report the similarity of retinal findings in an infant who sustained an accidental head injury and an infant with non-accidental head trauma. METHODS: Two male infants sustained head injuries with skull fractures. Case 1 was an accidental head injury and case 2 was a non-accidental head injury. RESULTS: On examination, in case 1, there were four superficial retinal haemorrhages in the right fundus. The left eye had a haemorrhagic optic disc oedema with extensive retinal haemorrhages, retinal folds, and schitic cavities within the retina at the posterior pole. In case 2, the right fundus had a single blot haemorrhage at the posterior pole. The left fundus revealed optic disc haemorrhage and oedema with extensive retinal haemorrhages. There was a haemorrhagic retinoschisis with a retinal fold. CONCLUSIONS: The two cases, one with accidental and the other with non-accidental injury, demonstrate very similar ophthalmic findings. This supports the argument that there may be no retinal signs seen exclusively in non-accidental head injury.
AIMS: To report the similarity of retinal findings in an infant who sustained an accidental head injury and an infant with non-accidental head trauma. METHODS: Two male infants sustained head injuries with skull fractures. Case 1 was an accidental head injury and case 2 was a non-accidental head injury. RESULTS: On examination, in case 1, there were four superficial retinal haemorrhages in the right fundus. The left eye had a haemorrhagic optic disc oedema with extensive retinal haemorrhages, retinal folds, and schitic cavities within the retina at the posterior pole. In case 2, the right fundus had a single blot haemorrhage at the posterior pole. The left fundus revealed optic disc haemorrhage and oedema with extensive retinal haemorrhages. There was a haemorrhagic retinoschisis with a retinal fold. CONCLUSIONS: The two cases, one with accidental and the other with non-accidental injury, demonstrate very similar ophthalmic findings. This supports the argument that there may be no retinal signs seen exclusively in non-accidental head injury.
Authors: Angell Shi; Abhaya Kulkarni; Kenneth W Feldman; Avery Weiss; Emily A McCourt; Susan Schloff; Michael Partington; Brian Forbes; Brooke E Geddie; Karin Bierbrauer; Paul H Phillips; David L Rogers; Waleed Abed Alnabi; Gil Binenbaum; Alex V Levin Journal: Pediatrics Date: 2019-01-10 Impact factor: 7.124
Authors: S A Maguire; P O Watts; A D Shaw; S Holden; R H Taylor; W J Watkins; M K Mann; V Tempest; A M Kemp Journal: Eye (Lond) Date: 2012-10-19 Impact factor: 3.775