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The Eye Examination in the Evaluation of Child Abuse

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dc.contributor.author Christian, C. W., Levin, A. V., & Council on child abuse and neglect, section on ophthalmology, American Association of Certified Orthoptists, American Association for Pediatric Ophthalmology and Strabismus, American Academy of Ophthalmology
dc.date.accessioned 2018-08-06T16:56:21Z
dc.date.available 2018-08-06T16:56:21Z
dc.date.issued 2018
dc.identifier.citation Christian, C. W., Levin, A. V., & Council on child abuse and neglect, section on ophthalmology, American Association of Certified Orthoptists, American Association for Pediatric Ophthalmology and Strabismus, American Academy of Ophthalmology (2018). The Eye Examination in the Evaluation of Child Abuse. Pediatrics, 142(2). en_US
dc.identifier.uri http://pediatrics.aappublications.org/content/early/2018/07/19/peds.2018-1411
dc.identifier.uri http://hdl.handle.net/11212/3894
dc.description.abstract Child abuse can cause injury to any part of the eye. The most common manifestations are retinal hemorrhages (RHs) in infants and young children with abusive head trauma (AHT). Although RHs are an important indicator of possible AHT, they are also found in other conditions. Distinguishing the number, type, location, and pattern of RHs is important in evaluating a differential diagnosis. Eye trauma can be seen in cases of physical abuse or AHT and may prompt referral for ophthalmologic assessment. Physicians have a responsibility to consider abuse in the differential diagnosis of pediatric eye trauma. Identification and documentation of inflicted ocular trauma requires a thorough examination by an ophthalmologist, including indirect ophthalmoscopy, most optimally through a dilated pupil, especially for the evaluation of possible RHs. An eye examination is helpful in detecting abnormalities that can help identify a medical or traumatic etiology for previously well young children who experience unexpected and unexplained mental status changes with no obvious cause, children with head trauma that results in significant intracranial hemorrhage and brain injury, and children with unexplained death. en_US
dc.language.iso en_US en_US
dc.publisher Pediatrics en_US
dc.subject child abuse en_US
dc.subject eye examination en_US
dc.subject assessment en_US
dc.subject physicians en_US
dc.title The Eye Examination in the Evaluation of Child Abuse en_US
dc.type Article en_US


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