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Right arrow Child Abuse and Neglect

AAP Grand Rounds 2:41-42 (1999)
© 1999 American Academy of Pediatrics

CHILD ABUSE AND NEGLECT

Child Abuse and the Eye

Source: Child abuse and the eye. The Ophthalmology Child Abuse Working Party. Eye. 1999;13(Pt 1):3–10.

The first 20% of the full text of this article appears below.

This report of a committee of the Royal College of Ophthalmology concerns the effects on the eye of shaking or indirect trauma to the head in infants or very young children. The report takes the unusual form of a series of questions about retinal hemorrhage (RH), a carefully annotated summary of the evidence published in 104 citations through 1997, and succinct conclusions of these experts. Several of the 15 questions and conclusions are abstracted below.

Q: Are any ocular fundus findings pathognomonic of child abuse?

Conclusion: Severe RH and perimacular folds are frequently seen in child non-accidental injury, but they cannot . . . [Full Text of this Article]

Robert M. Reece, MD, FAAP
Child Protection Program, The Floating Hospital for Children at New England Medical Center, Boston, MA