title: Spontaneous absorption of extensive subinternal limiting membrane hemorrhage in shaken baby syndrome.
abstract: The Shaken Baby Syndrome (SBS) is characterized by subdural hematomas (SH), retinal hemorrhages (RH), and multiple fractures of long bones without external evidence of head trauma. Subinternal limiting membrane (ILM) hemorrhage, also known as macular schisis, is a characteristic finding of this entity. There is no guideline on the right time to indicate surgical treatment. This report describes an abused child with massive sub-ILM hemorrhage, which showed spontaneous absorption after less than two months of follow-up. Due to the possible spontaneous resolution, we suggest an initial conservative treatment in cases of sub-ILM hemorrhage related to SBS.
authors.affiliation: Department of Ophthalmology, University of São Paulo, Clínicas Hospital, 05403-000 São Paulo, SP, Brazil.
authors.forename: Tatiana Tarules
authors.initials: TT
authors.lastname: Azzi
authors.affiliation: Department of Ophthalmology, University of São Paulo, Clínicas Hospital, 05403-000 São Paulo, SP, Brazil.
authors.forename: Leandro Cabral
authors.initials: LC
authors.lastname: Zacharias
authors.affiliation: Department of Ophthalmology, University of São Paulo, Clínicas Hospital, 05403-000 São Paulo, SP, Brazil.
authors.forename: Sérgio Luis Gianotti
authors.initials: SL
authors.lastname: Pimentel