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  Vol. 127 No. 11, November 2009 TABLE OF CONTENTS
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Retinal Pigment Epithelial Tear in Shaken Baby Syndrome

Lawrence Y. Ho, MD; David T. Goldenberg, MD; Antonio Capone Jr, MD

Arch Ophthalmol. 2009;127(11):1547-1548.

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

Retinal hemorrhages are the most commonly reported ocular findings in shaken baby syndrome (SBS) in children.1 The intraocular hemorrhages can vary considerably not only in size and severity but also in location. Shaken baby syndrome can also cause several structural retinal abnormalities including perimacular folds, traumatic retinoschisis, vitreomacular traction, retinal pigmentary changes, and macular holes.2 Although these observations have been well documented in the literature, retinal pigment epithelial (RPE) tears have not been described in the setting of SBS.

Report of a Case

A full-term, 6.5-month-old male infant was found unresponsive at home under the care of his mother and grandparents. On his arrival at the hospital, he was found to have bilateral intracranial hemorrhages and obstructive hydrocephalus. Ophthalmologic examination revealed a dense vitreous hemorrhage overlying the macula in the right eye, subhyaloid and subinternal limiting membrane hemorrhage in the left eye, . . . [Full Text of this Article]


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