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Late ophthalmic manifestations of the shaken baby syndrome

D P Han1, W S Wilkinson

  • 1Eye Institute, Medical College of Wisconsin, Milwaukee 53226.

Journal of Pediatric Ophthalmology and Strabismus
|November 1, 1990
PubMed

Insights

Shaken baby syndrome can cause lasting vision problems. Macular folds and brain injury are significant complications that may reduce visual acuity in children.

Area of Science:

  • Ophthalmology
  • Pediatric Medicine
  • Neurology

Background:

  • Shaken baby syndrome (SBS) can cause severe intraocular hemorrhage.
  • Long-term visual outcomes after SBS are not fully understood.

Purpose of the Study:

  • To determine if visually significant retinal abnormalities persist after SBS, even when intraocular hemorrhage clears.
  • To identify the specific retinal and cerebral complications impacting vision in young children following SBS.

Main Methods:

  • Follow-up examination of six children (12-55 months) after an initial shaking injury.
  • Assessment of visual acuity and retinal abnormalities, including macular folds and retinal pigment epithelium defects.
  • Evaluation for evidence of cerebral injury contributing to visual impairment.

Main Results:

  • Two children developed reduced visual acuity due to macular folds in areas of previous subhyaloid hemorrhages.
  • One child had a non-visually significant retinal pigment epithelium defect.
  • Three children exhibited apparent profound visual loss attributed to cerebral injury.

Conclusions:

  • Macular folds are a persistent, visually significant complication of SBS.
  • Cortical (cerebral) injury is another major cause of visual impairment in SBS survivors.
  • Both retinal and cerebral complications underscore the severe visual consequences of SBS.

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