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Perimacular Retinal Folds Simulating Nonaccidental Injury in an Infant
Gregg T. Lueder, MD;
Jane W. Turner, MD, PhD;
Robert Paschall, MD
Arch Ophthalmol. 2006;124:1782-1783.
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Ophthalmologic abnormalities are important in the evaluation of infants suspected of being abused. A common form of child abuse is shaken baby syndrome (SBS), in which an infant is violently shaken, producing rapid, abrupt acceleration and deceleration of the cranium. Retinal hemorrhages are frequently found in children with SBS. A particularly severe form of retinal injury in SBS, traumatic retinoschisis, is characterized by a dome-shaped cavity in the macula with elevated perimacular folds at the periphery of the cavity.1
The etiology of perimacular folds has been the subject of debate. Massicotte et al2 reported persistent attachment of the vitreous to the internal limiting membrane at the apices of these folds and suggested that this finding might constitute evidence of violent shaking. A recent report, however, described similar retinal findings in a 13-month-old infant who sustained a skull fracture . . . [Full Text of this Article] Report of a Case
Comment
AUTHOR INFORMATION
RELATED LETTER
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Horace B. Gardner
Arch Ophthalmol. 2007;125(8):1142.
EXTRACT
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THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
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Arch Ophthalmol 2007;125:1142-1142.
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