title: [Retinal bleeding and venous stasis in a 10-month-old infant after a fall?].
abstract: This report describes the case of a 10-month-old infant, who was delivered to our hospital by the emergency physician intubated and in an unclear unconscious state. The father reported that the child had fallen from the couch to the ground. The consulted ophthalmologist reported venous stasis in both eyes including intraretinal and preretinal bleeding in all four quadrants, a diffuse vitreous hemorrhage in the right eye and temporal retinal wrinkling in both eyes. Based on these particular clinical findings a shaken baby syndrome was suspected. This report demonstrates the importance of recognizing and correctly interpreting the typical ophthalmological signs of physical child abuse in order to detect and prevent further mistreatment of children; moreover, the increasing importance of photographic documentation and histological work-up of the findings for forensic reasons are emphasized.
authors.affiliation: Klinik für Augenheilkunde, Helios Dr. Horst-Schmidt-Kliniken, Ludwig-Erhard-Straße 100, 65199, Wiesbaden, Deutschland. Achim.Fiess@helios-kliniken.de.
authors.forename: A
authors.initials: A
authors.lastname: Fieß
authors.affiliation: Klinik für Augenheilkunde, Helios Dr. Horst-Schmidt-Kliniken, Ludwig-Erhard-Straße 100, 65199, Wiesbaden, Deutschland.
authors.forename: S
authors.initials: S
authors.lastname: Dithmar
authors.affiliation: Klinik für Augenheilkunde, Helios Dr. Horst-Schmidt-Kliniken, Ludwig-Erhard-Straße 100, 65199, Wiesbaden, Deutschland.
authors.forename: R
authors.initials: R
authors.lastname: Kölb-Keerl
authors.affiliation: Klinik für Kinder und Jugendliche, Helios Dr. Horst-Schmidt-Kliniken, Wiesbaden, Deutschland.
authors.forename: A
authors.initials: A
authors.lastname: Kunze
authors.affiliation: Institut für Rechtsmedizin, Universitätsklinikum Gießen und Marburg, Gießen, Deutschland.
authors.forename: M
authors.initials: M
authors.lastname: Riße
authors.affiliation: Klinik für Kinder und Jugendliche, Helios Dr. Horst-Schmidt-Kliniken, Wiesbaden, Deutschland.
authors.forename: M
authors.initials: M
authors.lastname: Knuf
authors.affiliation: Klinik für Kinder und Jugendliche, Helios Dr. Horst-Schmidt-Kliniken, Wiesbaden, Deutschland.
authors.forename: J
authors.initials: J
authors.lastname: Bauer
mesh_terms: D000058:Accidental Falls; D002649:Child Abuse / Q000175:diagnosis* / Q000331:legislation & jurisprudence / Q000517:prevention & control; D003937:Diagnosis, Differential; D006801:Humans; D007223:Infant; D008297:Male; D054070:Postthrombotic Syndrome / Q000150:complications / Q000175:diagnosis*; D012166:Retinal Hemorrhage / Q000150:complications / Q000175:diagnosis*; D012170:Retinal Vein Occlusion / Q000150:complications / Q000000981:diagnostic imaging*; D038642:Shaken Baby Syndrome / Q000000981:diagnostic imaging*
keywords: Battered child syndrome; Retinal bleeding; Shaken baby syndrome; Sudden infant death syndrome; Terson syndrome