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Child protection

G90 SUBCONJUNCTIVAL HAEMORRHAGE IN VICTIMS OF CHILD ABUSE
S. Harty, C. Hobbs.St James’s University Hospital, Leeds, UK

Aim: Subconjunctival haemorrhage (SCH) is associated with pertussis infection (Paysse et al) and respiratory distress (Chiu et al) probably via increased intrathoracic pressure. Little is published about the relationship with trauma including abuse. The aims are to determine the frequency, pathogenesis, and the significance of SCH in children referred with suspected maltreatment.

Methods: Cases were identified retrospectively from a citywide paediatric child protection database and details obtained from reports and case notes. History, examination findings including eye and other injury, aetiology, and immediate outcome were studied.

Results: Twenty six cases (15 male, 11 female, age: range 1–184 months, mean 71 months) were identified between 1990 and 2005. Injury to the eye was the main presenting feature in eight (30.8%) cases. There was a history of blunt trauma in 17 including two with a history of asphyxia. Left eye . . . [Full text of this article]