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Learning From Outliers

Arch Ophthalmol. 2006;124:1773-1774.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

It has been 35 years since Guthkelch and then Caffey first described what has come to be called shaken baby syndrome (SBS).^1-3 In the intervening period, copious amounts of research have allowed us to accumulate a thorough knowledge of the clinical manifestations and expanded understanding of the pathophysiologic nature of this often lethal form of child abuse. It has been estimated that approximately 24 to 32 per 100 000 children younger than 2 years old are victims in the United States and Canada.^4-5 A hemorrhagic retinopathy is well recognized as one of the cardinal manifestations of SBS along with intracranial bleeding, cerebral edema, and parenchymal injury and characteristic skeletal injuries.⁶ Blunt impact of the head may or may not be present. Approximately two thirds of victims exhibit retinal hemorrhages that are too numerous to count, intraretinal, preretinal, subretinal, and distributed throughout the retina to the ora serrata.^7-8 Traumatic retinoschisis, first described . . . [Full Text of this Article]

AUTHOR INFORMATION
Alex V. Levin, MD, MHSc, FRCSC

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Perimacular Retinal Folds Simulating Nonaccidental Injury in an Infant
Gregg T. Lueder, Jane W. Turner, and Robert Paschall
Arch Ophthalmol. 2006;124(12):1782-1783.
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