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Updated: Aug 6, 2026

Quantitative Fundus Autofluorescence for the Evaluation of Retinal Diseases
Published on: March 11, 2016
When a funduscopic examination is the clue of maltreatment diagnostic
Ana Isabel Curcoy Barcenilla1, Victoria Trenchs Sainz de la Maza, Nuria Conde Cuevas
1Pediatric Department, Unidad Integrada Hospital Sant Joan de Déu-Hospital Clínic, Universidad de Barcelona, Barcelona, Spain. acurcoy@hsjdbcn.org
Objective:
: To report a case of unexpected shaken baby syndrome, the diagnosis of which was possible after an incidental funduscopic examination.
Methods:
: Observational case report. An infant was to be sent back home with an apparent unprovoked seizure diagnosis when a funduscopic examination was made because of an incidental research study changing the diagnostic orientation.
Results:
: Extensive bilateral subretinal hemorrhages in the funduscopic examination allowed shaken baby syndrome unexpected diagnosis. A funduscopic examination is not usually included in the first seizure diagnosis management, even when a retinal bleeding could be present and be the clue for its causative diagnosis.
Conclusion:
: We recommend having in mind the practice of a funduscopic examination in all children with a first apparently unprovoked seizure.

