Ophthalmologists are frequently asked to evaluate the fundiof traumatized children to rule out the diagnoses oj retinal and/or choroidal hemorrhages. These jindings, when seen in conjunction with evidence oj other injuries, particularly fractures ojlong bones or ribs, are suggestive oj a child who has been repeatedly abused. Injant walker injuries are, unfortunately, jairly common events, and the majority oj serious injuries involve jractures oj the head and neck.1 Preretinal and/or vitreous hemorrhage in association with an intracranial hemorrhage (Terson syndrome) can be caused by a single accident such as an infant walker fall. By our clinical findings alone, we can neither confirm nor rule out child abuse in these situations. The findings of retinal and/or choroidal hemorrhages at different stages of healing are more indicative of a child who has been repeatedly abused.
The welfare of children is of the upmost importance to the medical community, and, for this reason,
DeRespinis PA, Koser MW. The Association of Vision-Threatening Ocular Injury With Infant Walker Use-Reply. Arch Pediatr Adolesc Med. 1996;150(6):652. doi:10.1001/archpedi.1996.02170310086023