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Abusive head trauma (ocular)
Pediatric Ophthalmology
Key Points
- •Retinal haemorrhages occur in 85% of AHT cases - multi-layered, diffuse, extending to the ora serrata haemorrhages are highly specific for AHT
- •Perimacular folds / traumatic retinoschisis are virtually pathognomonic for AHT and carry poor visual prognosis
- •RetCam photography is mandatory for medico-legal documentation - images serve as evidence in child protection and criminal proceedings
- •Always perform a coagulation screen before attributing retinal haemorrhages to abuse - coagulopathy must be excluded
- •AHT is the leading cause of fatal child abuse in infants - ophthalmologists play a critical role in diagnosis, and mandatory reporting to child protective services is a legal obligation
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Keep reading Abusive head trauma (ocular)
17 more sections are included with the Clinical plan.
- Definition
- Epidemiology
- Aetiology and causes
- Pathogenesis
- Classification
- Risk factors and associations