Non-accidental Eye Injuries in Pediatric Patients for the Neuro-ophthalmologist

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Identifier Non-accidental_eye_injuries_in_pediatric_patients_for_the_neuro-ophthalmologist
Title Non-accidental Eye Injuries in Pediatric Patients for the Neuro-ophthalmologist
Creator Rachelle Srinivas; Melanie Truong-Le
Affiliation (RS) Department of Neurology and Ophthalmology, MSU; (MT) Department of Ophthalmology, UMMC
Subject Abusive Head Trauma; Child Abuse; Eye Injury; Retinal Hemorrhage
Description Physical abuse, or non-accidental trauma (NAT), remains a leading cause of injury and death among young children, with abusive head trauma (AHT) being a major contributor. Common associated ocular findings include retinal hemorrhages (RH), subconjunctival hemorrhage, and optic nerve abnormalities, which are critical in diagnosing AHT. This review aims to provide neuro-ophthalmologists with a comprehensive overview of non-accidental eye injuries in pediatric patients. It explores the mechanisms of ocular injuries, common clinical presentations, differential diagnoses, and management strategies, including the use of diagnostic imaging tools like CT, MRI, and optical coherence tomography. It emphasizes the role of neuro-ophthalmologists in identifying and managing AHT-related eye injuries, highlights the importance of a multidisciplinary approach in treatment, and addresses the legal considerations associated with such cases. The findings underscore the need for timely and thorough ophthalmic evaluations to aid in the accurate diagnosis and management of AHT.
Date 2023-10
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Language eng
Format application/pdf
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Collection Neuro-Ophthalmology Virtual Education Library: NOVEL https://NOVEL.utah.edu
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