Abstract | OBJECTIVE: METHODS: Five infants, ages 3 to 8 months, with confirmed child abuse underwent ocular examination and neurological testing to identify varying degrees of vitreoretinal changes and neurological dysfunction. Pars plana vitrectomy was performed on one or both eyes in each infant to remove the vitreous hemorrhage. RESULTS: CONCLUSIONS: The presence of dense vitreous hemorrhage in infants with shaken baby syndrome has a poor visual prognosis, due to the frequent concomitant occurrence of significant retinal and visual cortical pathology. In contrast, infants with only intraretinal or subhyaloid hemorrhage tend to have a much better prognosis, with less disruption of both intraocular and intracranial structures.
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Authors | G P Matthews, A Das |
Journal | Journal of pediatric ophthalmology and strabismus
(J Pediatr Ophthalmol Strabismus)
1996 Jul-Aug
Vol. 33
Issue 4
Pg. 260-5
ISSN: 0191-3913 [Print] United States |
PMID | 8827564
(Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
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Topics |
- Battered Child Syndrome
(complications, diagnosis, physiopathology)
- Brain Injuries
(diagnosis, etiology, physiopathology)
- Humans
- Infant
- Infant, Newborn
- Prognosis
- Retrospective Studies
- Subarachnoid Hemorrhage
(etiology, physiopathology, surgery)
- Tomography, X-Ray Computed
- Visual Acuity
(physiology)
- Vitrectomy
- Vitreous Hemorrhage
(etiology, physiopathology, surgery)
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