Abstract
Shaken baby syndrome (SBS) is a leading cause of childhood trauma and results in significant morbidity and mortality. Systemic evaluation should be performed in any child suspected of SBS including physical exam, fundus photography, skeletal survey, neuroimaging, and serologies. One of the hallmark findings of SBS is innumerable retinal hemorrhages extending anterior to the equator. Treatment of ocular findings centers around amblyopia management and visual development and may require anterior scatter laser in cases of ischemia, or vitrectomy for non-clearing vitreous hemorrhage obstructing the visual axis, macular hole, and retinal detachment. Many infants with SBS may suffer from significant cortical vision loss and bilateral optic atrophy regardless of their ocular findings and treatment. The long-term visual prognosis of SBS is guarded.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Keenan HT, Runyan DK, Marshall SW, et al. A population-based study of inflicted traumatic brain injury in young children. JAMA. 2003;290(5):621–6.
National Center on Shaken Baby Syndrome. Nov 2, 2021. https://www.dontshake.org/.
Watts P, Maguire S, Kwok T, et al. Newborn retinal hemorrhages: a systematic review. J AAPOS. 2013;17(3):341.
Tran K, Ko A, Read S, et al. The use of fluorescein angiography to evaluate pediatric abusive head trauma: an observational case series. J Vitreoretin Dis. 2017;1(5):321–7.
Wright L, Harper C III, Chang E. Management of Infantile and Childhood Retinopathies: Optimized Pediatric Pars Plana Vitrectomy Sclerotomy Nomogram. Ophthalmol Retin. 2018;2:1227–34.
Yonekawa Y, Wu WC, Kusaka S, et al. Immediate sequential bilateral pediatric vitreoretinal surgery: an international multicenter study. Ophthalmology. 2016;123(8):1802–8.
McCabe CF, Donahue SP. Prognostic indicators for vision and mortality in shaken baby syndrome. Arch Ophthalmol. 2000;118(3):373–7.
Kivlin JD, Simons KB, Lazoritz S, Ruttum MS. Shaken baby syndrome. Ophthalmology. 2000;107(7):1246–54.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Electronic supplementary material
Below is the link to the electronic supplementary material.
Supplementary file1 (MOV 240695 kb)
Rights and permissions
Copyright information
© 2023 The Author(s), under exclusive license to Springer Nature Switzerland AG
About this chapter
Cite this chapter
Tran, K.D., Berrocal, A.M. (2023). Shaken Baby Syndrome. In: Özdek, Ş., Berrocal, A., Spandau, U. (eds) Pediatric Vitreoretinal Surgery. Springer, Cham. https://doi.org/10.1007/978-3-031-14506-3_49
Download citation
DOI: https://doi.org/10.1007/978-3-031-14506-3_49
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-031-14505-6
Online ISBN: 978-3-031-14506-3
eBook Packages: MedicineMedicine (R0)