Unilateral ischaemic retinopathy and bilateral subdural haemorrhage in an infant with non-accidental injury: An ophthalmological approach; [Kaza sonucu oluşmamış, yaralı bebekte tel taraflı iskemik retinopati ve iki taraflı subdural kanama: Bir oftalmolojik yaklaşım]

• Published in: Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES
• Main Author: Ee C.L.; Mohd Abdullah A.A.; Samsudin A.; Khaliddin N.
• Format: Article
• Language: English
• Published: NLM (Medline) 2019
• Online Access: https://www.scopus.com/inward/record.uri?eid=2-s2.0-85071736865&doi=10.5505%2ftjtes.2018.57059&partnerID=40&md5=8c52f362ced870be228eb0ed00c2105e

Non-accidental injury (NAI) is not an uncommon problem worldwide, which leads to significant morbidity and mortality in infants. The presence of retinal or subdural haemorrhages, or encephalopathy with injuries inconsistent with the clinical history is highly suggestive of NAI. In this study, we report on a case of a a 3-month-old infant who presented to the casualty department with a very sudden onset of recurrent generalised tonic-clonic seizures. There was no history of trauma or visible external signs. She was found to have bilateral subdural haemorrhages and atypical unilateral ischaemic retinopathy. Retinal photocoagulation was performed with subsequent resolution of vitreous and retinal haemorrhages. However, visual recovery in that eye remained poor. The findings showed that a high index of suspicion of NAI is required in infants with intracranial haemorrhage and unilateral retinal haemorrhages.