PURPOSE: To describe a case of vitrectomy for nonclearing vitreous hemorrhage in shaken baby syndrome and the utility of intraoperative hand-held optical coherence tomography to distinguish a macular hole from a pseudo-hole. METHODS: Case report of a 4-month-old girl. RESULTS: After clearing of media opacity by vitrectomy, an apparent macular hole was seen with the operating microscope. However, this was shown to be only a pseudo-hole by intraoperative hand-held optical coherence tomography, requiring no further treatment. CONCLUSION: Intraoperative hand-held optical coherence tomography may be important when performing vitrectomy for nonclearing vitreous hemorrhage in shaken baby syndrome.
PURPOSE: To describe a case of vitrectomy for nonclearing vitreous hemorrhage in shaken baby syndrome and the utility of intraoperative hand-held optical coherence tomography to distinguish a macular hole from a pseudo-hole. METHODS: Case report of a 4-month-old girl. RESULTS: After clearing of media opacity by vitrectomy, an apparent macular hole was seen with the operating microscope. However, this was shown to be only a pseudo-hole by intraoperative hand-held optical coherence tomography, requiring no further treatment. CONCLUSION: Intraoperative hand-held optical coherence tomography may be important when performing vitrectomy for nonclearing vitreous hemorrhage in shaken baby syndrome.