Citation

Caputo G, de Haller R, Metge F, Dureau P. Retina 2008; 28(3): S42-6.

Affiliation

Department of Pediatric Ophthalmology, Fondation Ophtalmologique A. de Rothschildm, Paris, France. georgecaputo@mac.com

Erratum On

Retina 2009;29(1):127

Copyright

(Copyright © 2008, Ophthalmic Communications Society, Publisher Lippincott Williams and Wilkins)

DOI

10.1097/IAE.0b013e318159ec91

PMID

18317344

Abstract

BACKGROUND: Ocular lesions known to occur after shaken baby syndrome (SBS) are epiretinal, intraretinal, and subretinal hemorrhages, which are present in up to 100% of patients. Retinoschisis and retinal folds have also been described. We describe three patients with SBS who presented with tractional retinal detachments secondary to neovascular proliferation and discuss the role of ischemia at the retinal level. PATIENTS: Three patients (two 4-month-old babies and one 4-year-old child) with a history of SBS in the first year of life presented with tractional retinal detachment due to severe preretinal fibrovascular proliferation. Peripheral retinal ischemia and vascular disorganization were noted during clinical examination. CONCLUSION: Although physiopathology of SBS remains disputed, ischemia has been accepted as the main feature of cerebral lesions. Ischemia could also be present at the retinal level as suggested by our patients' presentation. It could be induced by direct vitreous shearing of the capillary network or more probably by vascular leak due to brain edema and hypoxic damage of capillaries. Long-term ocular follow-up is necessary in SBS to treat these patients preventively.

Language: en