Nonophthalmologist accuracy in diagnosing retinal hemorrhages in the shaken baby syndrome

Yair Morad; Yuri M Kim; Marcellina Mian; Dirk Huyer; Louise Capra; Alex V Levin

doi:10.1067/mpd.2003.161

Nonophthalmologist accuracy in diagnosing retinal hemorrhages in the shaken baby syndrome

J Pediatr. 2003 Apr;142(4):431-4. doi: 10.1067/mpd.2003.161.

Authors

Yair Morad¹, Yuri M Kim, Marcellina Mian, Dirk Huyer, Louise Capra, Alex V Levin

Affiliation

¹ Department of Ophthalmology, The Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada.

PMID: 12712063
DOI: 10.1067/mpd.2003.161

Abstract

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.

Publication types

Research Support, Non-U.S. Gov't

MeSH terms

Child, Preschool
Clinical Competence / statistics & numerical data*
Diagnostic Errors / statistics & numerical data*
Female
Fundus Oculi
Humans
Infant
Male
Ophthalmology / statistics & numerical data*
Referral and Consultation / statistics & numerical data
Reproducibility of Results
Retinal Hemorrhage / diagnosis*
Retinal Hemorrhage / etiology*
Retrospective Studies
Shaken Baby Syndrome / complications*
Shaken Baby Syndrome / diagnosis*