Improved documentation of retinal hemorrhages using a wide-field digital ophthalmic camera in patients who experienced abusive head trauma

T. A. Nakagawa, R. Skrinska

Research output: Contribution to journalArticle

Abstract

Objective: To describe the clinical use of a wide-field digital ophthalmic camera (RetCam 120; Massie Research Laboratories, Inc, Dublin, Calif) for the documentation of retinal hemorrhages in patients who experienced abusive head trauma. Design: Case series. Setting: Pediatric intensive care unit at a tertiary care center. Participants: Children with suspected abusive head trauma. Results: Eight children were studied during a 9-month period. The median age of the children was 2.25 months (range, 0.8-18.0 months). There were 4 male and 4 female patients. All patients had intracranial bleeding, documented by computed axial tomographic scans of the head. Of the 8 patients, 6 had bilateral retinal hemorrhages. All patients underwent a formal examination by a pediatric ophthalmologist (R.S. and others) using a wide-field digital ophthalmic camera. Three children died. Conclusions: The wide-field digital ophthalmic camera allowed good visualization and produced high-quality photographic images, resulting in instant bedside documentation of retinal pathological features. The wide-field digital ophthalmic camera provides a new tool for the evaluation and precise documentation of retinal hemorrhages in suspected and confirmed cases of abusive head trauma.

Original languageEnglish (US)
Pages (from-to)1149-1152
Number of pages4
JournalArchives of Pediatrics and Adolescent Medicine
Volume155
Issue number10
DOIs
StatePublished - Jan 1 2001

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ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

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