Swept-source OCT findings in shaken baby syndrome: case report

Our purpose was to document the swept source optical coherence tomography (SSOCT) findings in a patient with Shaken baby syndrome (SBS). SSOCT was obtained without sedation in a six-month-old girl with bilateral multilayered retinal hemorrhages due to SBS. It documented vitreoretinal interface abnor...

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Bibliographic Details
Published in:BMC ophthalmology 2020-10, Vol.20 (1), p.396-396, Article 396
Main Authors: Ksiaa, Imen, Ghachem, Mohamed, Besbes, Habib, Khochtali, Sana, Chouchane, Slaheddine, Khairallah, Moncef
Format: Article
Language:English
Subjects:
Anesthesia
Atrophy
Babies
Case Report
Case reports
Child abuse & neglect
Children & youth
Eye
Female
Forensic pathology
Fovea Centralis
Head injuries
Hematoma
Hemorrhage
Humans
Infant
Medical research
Ophthalmology
Retina
Retinal degeneration
Retinal Hemorrhage - diagnosis
Retinal Hemorrhage - etiology
Retinal hemorrhages
Shaken baby syndrome
Shaken Baby Syndrome - diagnosis
Swept source optical coherence tomography
Tomography, Optical Coherence
Traumatic brain injury
Vitreoretinal interface
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Summary:Our purpose was to document the swept source optical coherence tomography (SSOCT) findings in a patient with Shaken baby syndrome (SBS). SSOCT was obtained without sedation in a six-month-old girl with bilateral multilayered retinal hemorrhages due to SBS. It documented vitreoretinal interface abnormalities, including internal limiting membrane (ILM) detachment with retinal traction, in association with other specific changes in the inner and outer retinal layers. Six weeks later, retinal hemorrhages had substantially resolved, and there was optic disc pallor. OCT showed ILM reattachment with release of retinal traction and the development of severe diffuse retinal atrophy involving the fovea. SS OCT can provide useful information in SBS, revealing a wide variety of vitreoretinal interface, inner, and outer retinal changes not detected by clinical examination. It also may have a prognostic value over follow-up.
ISSN:1471-2415
1471-2415
DOI:10.1186/s12886-020-01666-9