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Nonvitreoretinal Eye Injuries in 2 Infants Due to Nonaccidental Trauma
Ryan Brown1, Paige Pasquali1, Ken Feldman2
1From the Section on Pediatric Emergency Medicine, Department of Pediatrics, University of Oklahoma College of Medicine, Oklahoma City, OK.
Insights
Abnormal eye deviation in infants can indicate abusive head trauma. Prompt ophthalmological and neurological evaluations are crucial for diagnosing nonaccidental trauma in young children.
Area of Science:
- Pediatric ophthalmology
- Child abuse and neglect
- Forensic medicine
Background:
- Intraocular findings are established indicators in child abuse.
- Eye deviation is an underrecognized but significant sign of potential maltreatment.
Abstract:
Intraocular findings are well known and well documented in child abuse cases. However, eye deviation on physical examination can also be just as important in evaluating a child for maltreatment. We present 2 cases of infants younger than 6 months who presented to the emergency department with new-onset abnormal eye deviation, and further evaluation revealed other findings consistent with nonaccidental trauma. These cases were ruled as abusive head trauma and demonstrate the importance of conducting a thorough evaluation for any acute-onset ophthalmological and neurological finding.
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