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Horace B. Gardner, MD

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When retinoschisis¹ and retinal folds² were suggested to possibly be virtually pathognomonic of shaking, Tongue^{1, 3} urged caution in both instances. Originally presented as separate entities, retinal folds are now recognized as 1 manifestation of schisis.⁴ Even the authors of the retinal folds hypothesis noted the following:

[T]he best way to confirm this assertion is to study a series of eyes taken from children who sustained accidental (not deliberate) direct head trauma: if perimacular folds are not seen in this group, then it is reasonable to conclude that direct head trauma alone without shaking is insufficient trauma to induce the type of vitreous traction necessary to produce these folds.²

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RELATED ARTICLE

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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