title: MACULAR PSEUDO-HOLE IN SHAKEN BABY SYNDROME: UNDERSCORING THE UTILITY OF OPTICAL COHERENCE TOMOGRAPHY UNDER ANESTHESIA.
abstract: OBJECTIVE
  To describe a case of vitrectomy for nonclearing vitreous hemorrhage in shaken baby syndrome and the utility of intraoperative hand-held optical coherence tomography to distinguish a macular hole from a pseudo-hole.
  
  
  METHODS
  Case report of a 4-month-old girl.
  
  
  RESULTS
  After clearing of media opacity by vitrectomy, an apparent macular hole was seen with the operating microscope. However, this was shown to be only a pseudo-hole by intraoperative hand-held optical coherence tomography, requiring no further treatment.
  
  
  CONCLUSIONS
  Intraoperative hand-held optical coherence tomography may be important when performing vitrectomy for nonclearing vitreous hemorrhage in shaken baby syndrome.
authors.affiliation: Duke Eye Center, Duke University Medical Center, Durham, North Carolina.
authors.forename: Michael I
authors.initials: MI
authors.lastname: Seider
authors.forename: Du
authors.initials: D
authors.lastname: Tran-Viet
authors.forename: Cynthia A
authors.initials: CA
authors.lastname: Toth
mesh_terms: D005260:Female; D006801:Humans; D007223:Infant; D019095:Point-of-Care Systems; D012167:Retinal Perforations / Q000000981:diagnostic imaging*; D038642:Shaken Baby Syndrome / Q000150:complications*; D041623:Tomography, Optical Coherence / Q000379:methods*; D014821:Vitrectomy / Q000379:methods; D014823:Vitreous Hemorrhage / Q000601:surgery*