Nonophthalmologist accuracy in diagnosing retinal hemorrhages in the shaken baby syndrome

被引:46
作者
Morad, Y
Kim, YM
Mian, M
Huyer, D
Capra, L
Levin, AV
机构
[1] Univ Toronto, Dept Ophthalmol, Hosp Sick Children, Toronto, ON M5G 1X8, Canada
[2] Univ Toronto, Dept Pediat, Hosp Sick Children, Toronto, ON M5G 1X8, Canada
关键词
D O I
10.1067/mpd.2003.161
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Nonophthalmologists did not attempt to (36%) or were "unable to" (19%) examine the fundus in 72 children with shaken baby syndrome. When the retina was examined, nonophthalmologists were accurate in recognizing the absence or presence of retinal hemorrhage in 87%. However, false-negative examinations occurred in 13%. Ophthalmology consultation should be an integral part of the evaluation of children with suspected abuse.
引用
收藏
页码:431 / 434
页数:4
相关论文
共 7 条
[1]  
GILKES MJ, 1967, LANCET, V2, P468
[2]   SYSTEMIC AND OCULAR FINDINGS IN 169 PROSPECTIVELY STUDIED CHILD DEATHS - RETINAL HEMORRHAGES USUALLY MEAN CHILD-ABUSE [J].
GILLILAND, MGF ;
LUCKENBACH, MW ;
CHENIER, TC .
FORENSIC SCIENCE INTERNATIONAL, 1994, 68 (02) :117-132
[3]  
GREENWALD MJ, 1986, OPHTHALMOLOGY, V93, P618
[4]   Shaken baby syndrome [J].
Kivlin, JD ;
Simons, KB ;
Lazoritz, S ;
Ruttum, MS .
OPHTHALMOLOGY, 2000, 107 (07) :1246-1254
[5]  
Levin AV, 2000, RECENT ADV PAEDIAT, V18, P151
[6]  
PAGGIARINO DA, 1993, ANN OPHTHALMOL, V25, P244
[7]   Direct ophthalmoscopy in pediatric emergency care [J].
Sit, M ;
Levin, AV .
PEDIATRIC EMERGENCY CARE, 2001, 17 (03) :199-204