Burge LR, Van Horne BS, Bachim A, et al. - Since current recommendations encourage an eye examination within 48 hours of admission due to the rapid resolution of retinal hemorrhage (RH), researchers conducted this retrospective chart review to identify clinical factors associated with a delay in funduscopic examination outside the recommended 48 hours. This investigation was carried out on all inpatient consultations by the Child Protection Team with evidence of intracranial injury on computed tomography or MRI over 3 years at a large children’s hospital. In total, 203 patients met the requirements for inclusion. After controlling for multiple clinical factors, multivariate analyses showed that pediatric intensive care unit admission, surgical intervention, and seizure activity were significant predictors of delayed examination. A consultation with a neurosurgeon was found to be protective against a delayed examination. Rapid resolution of RH can occur in child abuse. When child abuse is suspected, prompt ophthalmology examinations and neurosurgery consultation can help avoid a delay in diagnosis.