Journal article
Quantitative measurement of retinal hemorrhages in suspected victims of child abuse
Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus, Vol.18(6), pp.529-533
12/2014
DOI: 10.1016/j.jaapos.2014.07.175
PMID: 25456029
Abstract
Child abuse is one of the leading causes of death in early childhood. The presence of retinal hemorrhages often supports the diagnosis. The purpose of this study was to determine whether the specific measurement of retinal hemorrhages when present on fundus photography correlates with other clinical findings typically seen in children suspected of having been abused. The medical records of children with retinal hemorrhages who were suspected of being victims of abusive head trauma from June 2003 to June 2013 and who had widefield retinal photography performed were retrospectively reviewed. Data collected included hemorrhage-covered percentage (HCP) of the central retina (posterior pole or 40° circle centered on fovea) measured by ImageJ in relation to death, length of hospital stay, presence of abnormal findings on neuroimaging or skeletal survey, and definite versus possible abuse. Significant difference in retinal hemorrhage measured on fundus photography was found in patients with axial skeletal fracture (P = 0.016), signs of severe brain trauma on neuroimaging (P = 0.014) and definite versus possible abuse (P = 0.023). No correlation of quantitative measurement of the retinal hemorrhage to length of hospital stay, death, or the presence of skull fracture was found in this cohort. The quantitative measurement of total retinal hemorrhage when present on fundus photography centered on posterior pole in children suspected of having been abused correlated with some but not all findings typically seen in abused children.
Details
- Title: Subtitle
- Quantitative measurement of retinal hemorrhages in suspected victims of child abuse
- Creators
- Susannah Q Longmuir - Department of Ophthalmology and Visual Sciences, University of Iowa; Department of Pediatrics, University of Iowa. Electronic address: Susannah-longmuir@uiowa.eduResmiye Oral - Department of Pediatrics, University of IowaAmy E Walz - Department of Pediatrics, University of IowaPavlina S Kemp - Department of Ophthalmology and Visual Sciences, University of IowaJessica Ryba - Department of Pediatrics, University of IowaBridget M Zimmerman - Department of Biostatistics, University of IowaMichael D Abramoff - Department of Ophthalmology and Visual Sciences, University of Iowa
- Resource Type
- Journal article
- Publication Details
- Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus, Vol.18(6), pp.529-533
- Publisher
- United States
- DOI
- 10.1016/j.jaapos.2014.07.175
- PMID
- 25456029
- ISSN
- 1091-8531
- eISSN
- 1528-3933
- Grant note
- Financial support provided by an unrestricted grant from Research to Prevent Blindness. MDA is supported by NIH R01 EY019112, R01 EY018853, VA I01 CX000119, and the Arnold and Mabel Beckman Initiative for Macular Research.
- Language
- English
- Date published
- 12/2014
- Academic Unit
- Roy J. Carver Department of Biomedical Engineering; Electrical and Computer Engineering; Stead Family Department of Pediatrics; Biostatistics; Ophthalmology and Visual Sciences
- Record Identifier
- 9983806261902771
Metrics
24 Record Views