PARS PLANA VITRECTOMY FOR RETINAL DETACHMENT REPAIR AS A LATE COMPLICATION FOR PREVIOUS ABUSIVE HEAD TRAUMA

Area of Science:

• Ophthalmology
• Pediatric Traumatology

Background:

• Abusive head trauma (AHT), or shaken baby syndrome, is linked to various retinal findings.
• Retinal detachment is a rare but documented complication of AHT.

Purpose of the Study:

• To document the potential for late-onset retinal detachment following abusive head trauma.
• To investigate the occurrence of retinal detachment as a delayed consequence of AHT.

Main Methods:

• A single patient with a history of AHT and subsequent late retinal detachment was studied.
• Comprehensive ocular examination and ultra-widefield fundus photography (Optos) were performed.
• Imaging was conducted before and after surgical repair of the retinal detachment.

Main Results:

• The patient underwent successful pars plana vitrectomy.
• Surgical procedures included posterior hyaloid peeling, endolaser, and silicone oil injection.
• The retinal detachment was effectively repaired.

Conclusions:

• Retinal detachment can manifest as a late complication of abusive head trauma.
• This case underscores the importance of recognizing delayed ocular complications in AHT survivors.