Shaken Baby Syndrome

By posted on July 15, 2014 10:01PM
Shaken Baby Syndrome

Shaken Baby Syndrome 

Key Facts
• Retinal findings that occur following violent shaking of an infant
• Clinical findings are usually bilateral Clinical Findings
• Diffuse intraretinal hemorrhage
• Subretinal hemorrhage
• Vitreous or subhyaloid hemorrhage
• Optic disc swelling
• Cotton wool spots
• Venous engorgement
• Chorioretinal atrophy (chronic)
Ancillary Testing
• Ultrasound when vitreous hemorrhage
• Consultation with a pediatrician to evaluate for systemic fi ndings of child abuse including long bone fractures and intracranial hemorrhage
• Complete blood count to evaluate for blood dyscrasias Differential Diagnosis
• Leukemia
• Purtscher’s retinopathy
• Terson syndrome
• Central retinal vein occlusion
• Birth trauma
Treatment
• Observation
• Vitreous hemorrhage that occludes visual axis and fails to rapidly clear may require pars plana vitrectomy to prevent amblyopia
Prognosis
• Poor visual prognosis when there is extensive chorioretinal atrophy, deprivation amblyopia, or brain injury

Shaken Baby Syndrome
Shaken Baby Syndrome

Source: 

Ophthalmology Atlas(Photos of cases)

Shaken Baby Syndrome 

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