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Battered child syndrome simulating congenital glaucoma.

S S Tseng, M P Keys

Archives of Ophthalmology (Chicago, Ill. : 1960)

|May 1, 1976

Summary

This case report describes a 9-week-old child with bilateral congenital glaucoma, likely caused by trauma from parental neglect and physical abuse. It highlights the crucial link between non-accidental trauma and severe pediatric eye conditions.

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Area of Science:

Ophthalmology
Pediatric Medicine
Forensic Medicine

Background:

Congenital glaucoma is a rare condition requiring early diagnosis and treatment.
Pediatric eye trauma can present with varied signs and symptoms, sometimes mimicking congenital conditions.

Observation:

A 9-week-old infant presented with clinical signs suggestive of congenital glaucoma, including enlarged corneas and elevated intraocular pressure.
Further examination revealed additional ocular abnormalities: subluxated and cataractous lenses, hyphema, iridodialysis, angle recession, and vitreous hemorrhage.

Findings:

The child exhibited clear signs of gross parental neglect and physical abuse.
The constellation of ocular findings, particularly in the context of trauma, suggests that the "congenital glaucoma" was likely acquired due to non-accidental injury.

Implications:

This case underscores the importance of considering non-accidental trauma in the differential diagnosis of pediatric glaucoma and other severe ocular conditions.
Ophthalmologists and pediatricians must be vigilant in identifying potential child abuse when presented with severe ocular trauma in infants.
Prompt recognition and reporting are critical for the child's safety and well-being, as well as for appropriate legal and medical intervention.

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