Ophthalmologic Concerns in Abusive Head Trauma |
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Authors: | Alex V Levin Francois M Luyet Barbara L Knox |
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Institution: | 1.Pediatric Ophthalmology and Ocular Genetics,Wills Eye Hospital,Philadelphia,USA;2.Departments of Ophthalmology and Pediatrics,Sidney Kimmel Medical College at Thomas Jefferson University,Philadelphia,USA;3.Department of Pediatrics,University of Wisconsin School of Medicine and Public Health,Madison,USA;4.UW Child Protection Program,University of Wisconsin American Family Children’s Hospital,Madison,USA |
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Abstract: | When Abusive Head Trauma (AHT) is suspected in a child, a dilated eye examination by an ophthalmologist is an essential part of the medical workup, as the presence and pattern of retinal hemorrhages can have a high positive predictive rate for abusive head injury. This article proposes to review the clinical presentation, pathophysiology, natural history, sequelae, and differential diagnosis of retinal hemorrhages and other ocular lesions associated with AHT. |
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