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Journal of Family Violence

, Volume 31, Issue 7, pp 797–804 | Cite as

Ophthalmologic Concerns in Abusive Head Trauma

  • Alex V. Levin
  • Francois M. Luyet
  • Barbara L. Knox
Original Article

Abstract

When Abusive Head Trauma (AHT) is suspected in a child, a dilated eye examination by an ophthalmologist is an essential part of the medical workup, as the presence and pattern of retinal hemorrhages can have a high positive predictive rate for abusive head injury. This article proposes to review the clinical presentation, pathophysiology, natural history, sequelae, and differential diagnosis of retinal hemorrhages and other ocular lesions associated with AHT.

Keywords

Abusive head trauma Ocular lesions Retinal hemorrhages Retinoschisis Retinal folds Dilated eye exam 

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Copyright information

© Springer Science+Business Media New York 2016

Authors and Affiliations

  • Alex V. Levin
    • 1
    • 2
  • Francois M. Luyet
    • 3
    • 4
  • Barbara L. Knox
    • 3
    • 4
  1. 1.Pediatric Ophthalmology and Ocular GeneticsWills Eye HospitalPhiladelphiaUSA
  2. 2.Departments of Ophthalmology and PediatricsSidney Kimmel Medical College at Thomas Jefferson UniversityPhiladelphiaUSA
  3. 3.Department of PediatricsUniversity of Wisconsin School of Medicine and Public HealthMadisonUSA
  4. 4.UW Child Protection ProgramUniversity of Wisconsin American Family Children’s HospitalMadisonUSA

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