Bilateral circumferential macular folds in inflicted childhood neurotrauma.
OBJECTIVE
To report an infant with inflicted neurotrauma who exhibited bilateral circumferential macular folds.


METHODS
Bedside ophthalmic examination and fundus photography using RetCam-II (Clarity Medical Systems, Pleasanton, CA).


RESULTS
Both pupils were miotic and nonreactive. External and anterior segments showed no abnormality. The fundus showed bilateral diffuse multilaminar retinal, subhyaloid, and vitreous hemorrhages. Distinctive macular folds were noted bilaterally.


CONCLUSIONS
Circumferential macular folds are most commonly found in abused infants, although it has been suggested that they may be associated with Terson syndrome and severe crush injury.
From the Edward S. Harkness Eye Institute, College of Physicians and Surgeons, Columbia University, New York, New York.
Suzanna
S
Airiani
Howard F
HF
Fine
Joseph D
JD
Walrath
Michael F
MF
Chiang
John T
JT
Flynn