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June 1996

The Association of Vision-Threatening Ocular Injury With Infant Walker Use

Author Affiliations

Medical Director Family Crisis Center 1290 King St Denver, CO 80220

Arch Pediatr Adolesc Med. 1996;150(6):652. doi:10.1001/archpedi.1996.02170310086022

In the December 1995 issue of the Archives, Koser and DeRespinis1 further emphasize injuries and possible sequelae of infant walker accidents. The diagnosis of Terson syndrome in the reports of patients is elucidating information for the general pediatrician. As a pediatrician trained in the medical aspects of child abuse, I am compelled to remind the readers that the association of intracranial hemorrhage and retinal hemorrhages in an infant or young child may be indicative of abusive head trauma. The authors state that "when severe head trauma is diagnosed, regardless of the cause,... Terson's syndrome should be ruled out." A complete review of the incident with a careful medical and social history should also rule out child abuse as the cause for the presenting injury.