This Article  • Full text  • PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Citing articles on Web of Science (8)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Topic Collections  • Pediatrics, Other  • Alert me on articles by topic  Social Bookmarking   What's this?

Thomas A. Nakagawa, MD; Ruta Skrinska, MD

Arch Pediatr Adolesc Med. 2001;155:1149-1152.

Objective  To describe the clinical use of a wide-field digital ophthalmic camera (RetCam 120; Massie Research Laboratories, Inc, Dublin, Calif) for the documentation of retinal hemorrhages in patients who experienced abusive head trauma.

Design  Case series.

Setting  Pediatric intensive care unit at a tertiary care center.

Participants  Children with suspected abusive head trauma.

Results  Eight children were studied during a 9-month period. The median age of the children was 2.25 months (range, 0.8-18.0 months). There were 4 male and 4 female patients. All patients had intracranial bleeding, documented by computed axial tomographic scans of the head. Of the 8 patients, 6 had bilateral retinal hemorrhages. All patients underwent a formal examination by a pediatric ophthalmologist (R.S. and others) using a wide-field digital ophthalmic camera. Three children died.

Conclusions  The wide-field digital ophthalmic camera allowed good visualization and produced high-quality photographic images, resulting in instant bedside documentation of retinal pathological features. The wide-field digital ophthalmic camera provides a new tool for the evaluation and precise documentation of retinal hemorrhages in suspected and confirmed cases of abusive head trauma.

From the Division of Pediatric Critical Care Medicine, Children's Hospital of The King's Daughters (Dr Nakagawa), and the Department of Pediatrics, Eastern Virginia Medical School (Dr Nakagawa), Norfolk, Va. Dr Skrinska is in private practice in Norfolk.

Corresponding author and reprints: Thomas A. Nakagawa, MD, Division of Pediatric Critical Care Medicine, Children's Hospital of The King's Daughters, 601 Children's Ln, Norfolk, VA 23507 (e-mail: NakagaTA{at}CHKD.com).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Use of digital camera imaging of eye fundus for telemedicine in children suspected of abusive head injury
Saleh et al.
Br J Ophthalmol 2009;93:424-428.
ABSTRACT | FULL TEXT  

Systematic Review of Digital Imaging Screening Strategies for Retinopathy of Prematurity
Fielder et al.
Pediatrics 2009;123:e360-e361.
FULL TEXT