OPTICAL COHERENCE TOMOGRAPHY AND VISUAL OUTCOMES IN PEDIATRIC ABUSIVE HEAD TRAUMA

Copyright © 2022 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of the Opthalmic Communications Society, Inc..

PURPOSE: Compare follow-up optical coherence tomography with visual function in children with abusive head trauma (shaken baby syndrome).

METHODS: Retrospective follow-up studies of three children who were victims of abusive head trauma within the first year of life.

RESULTS: Optical coherence tomography showed disrupted retinal layering, thick detached internal limiting membrane, focal posterior vitreous separation, and multilayered tractional retinoschisis. Significant vision loss occurred in three of four eyes with a history of traumatic retinoschisis. Normal visual acuity and low-normal visual-evoked potentials were measured in a child with foveal distortion, reduced global nerve fiber layer thickness, detached internal limiting membrane, and history of vitreous hemorrhage.

CONCLUSION: Significant abnormalities of retinal anatomy can be detected on optical coherence tomography years after abusive head trauma. Optical coherence tomographies and assessment of visual pathways help to elucidate causes of visual dysfunction in children with abusive head trauma.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:18

Enthalten in:

Retinal cases & brief reports - 18(2024), 2 vom: 01. Feb., Seite 225-229

Sprache:

Englisch

Beteiligte Personen:

Kelly, John P [VerfasserIn]
Feldman, Kenneth W [VerfasserIn]
Weiss, Avery [VerfasserIn]

Links:

Volltext

Themen:

Journal Article

Anmerkungen:

Date Completed 29.02.2024

Date Revised 29.02.2024

published: Print

Citation Status MEDLINE

doi:

10.1097/ICB.0000000000001353

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM346385040