Sornalingam Krishanthy, Borman Arundhati Dev, Ashworth Jane
Paediatric Ophthalmology Service, Manchester Royal Eye Hospital, Central Manchester University Hospitals NHS Foundation Trust, United Kingdom.
Paediatric Ophthalmology Service, Manchester Royal Eye Hospital, Central Manchester University Hospitals NHS Foundation Trust, United Kingdom; Faculty of Medical and Human Sciences, University of Manchester, Manchester, United Kingdom; Vision Science Centre, Manchester Royal Eye Hospital, Central Manchester University Hospitals NHS Foundation Trust, Manchester Academic Health Science Centre, Manchester, United Kingdom.
J AAPOS. 2018 Jun;22(3):231-233. doi: 10.1016/j.jaapos.2017.10.018. Epub 2018 Feb 2.
The association between abusive head trauma and retinal hemorrhages is well documented. As such, ophthalmic review in suspected nonaccidental injury has become routine. However, there is a paucity of reports focusing on ocular trauma and retinal detachment presenting as unilateral findings in nonaccidental injury and in the absence of other signs of physical abuse. This report identifies 2 suspected cases of nonaccidental injury in infants presenting to a tertiary care center with retinal detachment presumed secondary to severe unilateral direct ocular trauma. The fellow eye was normal in both cases. Findings were inconsistent with the reported histories from parents.
虐待性头部创伤与视网膜出血之间的关联已有充分记录。因此，对疑似非意外性损伤进行眼科检查已成为常规操作。然而，很少有报告关注在非意外性损伤且无其他身体虐待迹象的情况下，以单侧表现出现的眼外伤和视网膜脱离。本报告确定了2例疑似非意外性损伤的婴儿病例，这些婴儿在一家三级护理中心就诊，视网膜脱离被推测是由严重的单侧直接眼外伤所致。在这两个病例中，对侧眼均正常。检查结果与父母报告的病史不一致。
