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Predictive value of non-ocular findings for retinal haemorrhage in children evaluated for non-accidental trauma

Acta Ophthalmologica Jun 23, 2021

Giannakakos VP, Dosakayala N, Huang D, et al. - Researchers conducted this retrospective cross-sectional cohort study to determine non-ocular examination findings in non-accidental trauma (NAT) patients that are correlated with retinal haemorrhage and warrant urgent examination by an ophthalmologist. The sample consisted of children, aged 0 to 12 years, who underwent workup for NAT over a span of nine years in a level I trauma and tertiary referral centre. In total, 557 patients with ophthalmology evaluation and 425 without were involved in this investigation. Subdural or undistinguished extra-axial haemorrhage, Glasgow coma score < 15, and occipital lobe insult are risk factors for the presence of retinal haemorrhage in patients with suspected NAT, and their presence warrants an ophthalmologist's immediate dilated fundus examination. Without the aforementioned risk factors, cutaneous trauma or non-skull bone fractures do not require ophthalmology evaluation.

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