Nonophthalmologist accuracy in diagnosing retinal hemorrhages in the shaken baby syndrome.
Nonophthalmologists did not attempt to (36%) or were "unable to" (19%) examine the fundus in 72 children with shaken baby syndrome. When the retina was examined, nonophthalmologists were accurate in recognizing the absence or presence of retinal hemorrhage in 87%. However, false-negative examinations occurred in 13%. Ophthalmology consultation should be an integral part of the evaluation of children with suspected abuse.
Morad
Yair
Y
Department of Ophthalmology, The Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada.
Kim
Yuri M
YM
Mian
Marcellina
M
Huyer
Dirk
D
Capra
Louise
L
Levin
Alex V
AV
D002675:Child, Preschool; D002983:Clinical Competence / Q000706:statistics & numerical data*; D003951:Diagnostic Errors / Q000706:statistics & numerical data*; D005260:Female; D005654:Fundus Oculi; D006801:Humans; D007223:Infant; D008297:Male; D009885:Ophthalmology / Q000706:statistics & numerical data*; D012017:Referral and Consultation / Q000706:statistics & numerical data; D015203:Reproducibility of Results; D012166:Retinal Hemorrhage / Q000175:diagnosis* / Q000209:etiology*; D012189:Retrospective Studies; D038642:Shaken Baby Syndrome / Q000150:complications* / Q000175:diagnosis*