Does Accidental Injury Result in Retinal Hemorrhages?
Alario, et al., Johnson, et al. and Elder, et al. all performed prospective studies to determine if children who sustain accidental head injuries have retinal hemorrhages. Combining the three studies, a total of 215 children were examined. Two children (0.93%) had retinal hemorrhages; both of these children were involved in fatal or serious motor vehicle accidents. Buys, et al. and Duhaime, et al. examined children who sustained traumatic head injury. Buys found that 3/78 children had retinal hemorrhages; all three children were determined to have suffered non-accidental head injury after full multidisciplinary work-up. Duhaime found retinal hemorrhages in 10/100 patients <24 months who were admitted with head injury. Nine patients with retinal hemorrhages were felt by the authors to have suffered abusive head trauma. The other patient with retinal hemorrhages was involved in a motor vehicle accident. Luerssen, et al. examined a database of 811 pediatric patients who were admitted to t
