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Grossing of Non-neoplastic Globes, Including Fetal Eyes

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Postmortem ophthalmologic examination by endoscopy.

Masatake Tsujinaka¹, Yasuo Bunai

¹Department of Legal Medicine, Gifu University Graduate School of Medicine, Yanagido, Gifu, Japan. tsujinaka@msi.biglobe.ne.jp

The American Journal of Forensic Medicine and Pathology

|November 30, 2006

Summary

Postmortem ophthalmologic examination using a portable endoscope is a quick and valuable tool for forensic autopsies. This method can reveal abnormal intraocular findings linked to the cause of death, aiding investigations.

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Area of Science:

Forensic Pathology
Ophthalmology
Medical Devices

Background:

Intraocular findings in forensic autopsies are often overlooked.
Postmortem eye examinations can provide crucial data for determining cause of death.

Purpose of the Study:

To evaluate the utility of a minimally invasive postmortem ophthalmologic examination.
To assess the correlation between intraocular findings and cause of death.

Main Methods:

Utilized a portable endoscope system (0.9 mm tip diameter) for postmortem eye examination.
Procedure required minimal assistance and approximately 5 minutes per case.
Examined 46 forensic autopsy cases.

Main Results:

Abnormal intraocular findings were present in 22 (47.8%) of 46 cases.
Fundus hemorrhages and papilledema were noted in head trauma cases, aiding in time-of-death estimation.
Retinal splinter hemorrhages and fundus hemorrhages were observed in asphyxia and drowning cases, respectively.

Conclusions:

Postmortem ophthalmologic examination is a feasible and rapid procedure.
This technique can detect significant intraocular findings relevant to the cause of death.
Findings may enhance forensic autopsy accuracy and provide new insights into drowning-related deaths.