• If this series of events does not stabilize or reverse with recanalization of the occluded retinal vessels, the subsequent end-stage results may be retinal infarction and/or detachment. (medscape.com)
  • Since vitreous hemorrhage and retinal detachment account for most visual loss in hemoglobinopathies, the primary goal in treating proliferative sickle retinopathy is to minimize or eliminate neovascularization. (medscape.com)
  • Follow-up care is usually within 1 week after laser surgery to rule out retinal detachment from contracture of the neovascular membrane after laser treatment. (medscape.com)
  • Complete vitreous haemorrhage, retinal detachment. (iidmt.com)
  • In older children and adults, retinal hemorrhage can be caused by several medical conditions such as hypertension, retinal vein occlusion (a blockage of a retinal vein), anemia, leukemia or diabetes. (wikipedia.org)
  • The rigid sickled erythrocytes lead to vascular occlusion, which results in retinal hypoxia, ischemia, and neovascularization. (medscape.com)
  • Common vascular retinopathies include central retinal artery occlusion, central retinal vein occlusion, diabetic retinopathy, and hypertensive retinopathy. (doctor-clinic.org)
  • Central retinal artery occlusion occurs unilaterally and affects elderly patients. (doctor-clinic.org)
  • Central retinal vein occlusion, most prevalent in elderly patients, causes vision loss more slowly than central retinal artery occlusion. (doctor-clinic.org)
  • Central retinal artery occlusion may be idiopathic or may result from embolism, atherosclerosis, infection, or conditions that retard blood flow, such as temporal arteritis, carotid occlusion, and heart failure. (doctor-clinic.org)
  • No particular treatment is known to control central retinal artery occlusion. (doctor-clinic.org)
  • Therapy for central retinal vein occlusion may include aspirin, which acts as a mild anticoagulant. (doctor-clinic.org)
  • At autopsy, there was no gross or microscopic evidence of retinal hemorrhages. (nih.gov)
  • Some eyes show evidence of retinal tissue disruption in addition to hemorrhage. (aao.org)
  • 2019. Dr V.VLASYUK : Subdural Hemorrhage. (atide-asso.org)
  • Repetitive back-and-forth head rotation from vigorous shaking is purported to be a central mechanism responsible for diffuse white matter injur y, subdural hemorrhage, and retinal hemorrhage in some cases of abusive head trauma (AHT) in young children. (cdc.gov)
  • Vitreous hemorrhage may also develop, usually as a secondary phenomenon resulting from migration of blood from a preretinal hemorrhage into the vitreous. (aao.org)
  • Feeder vessel photocoagulation frequently is complicated by the following: vitreous hemorrhage, retinal detachments, choroidal ischemia, choroidal neovascularization, subretinal hemorrhage and/or fibrosis, or macular pucker and hole formation. (medscape.com)
  • The predictive factors for a final visual acuity worse than 20/200 included poor initial visual acuity ( P = 0.002), initial lesion involvement of more than 180° of the peripheral retina ( P = 0.03), an extension of subretinal hemorrhage to the macula ( P = 0.040), and absence of complete tumor regression ( P = 0.02). (bvsalud.org)
  • In a comprehensive review of 62 studies comprising 998 children, 504 of whom were abused, RH were found in 78% of cases of abusive head trauma (AHT) versus 5% of the cases of non-abusive head trauma. (wikipedia.org)
  • Predictors of long-term visual outcome following retinal hemorrhage from abusive head trauma. (upenn.edu)
  • Retinal hemorrhages are an unfortunately common result of abusive head trauma," said Levin. (rochester.edu)
  • This timely and comprehensive resource addresses consent for forensic procedures, imaging for soft tissue injuries, working with victims of torture, non-accidental injury in the elderly, medical and toxicological aspects of chemical warfare, non-fatal strangulation, abusive head trauma in young children, and more. (wiley-vch.de)
  • It is estimated that 1,400 children died from maltreatment in the United States in 2002, and abusive head trauma (AHT) accounted for 80% of these deaths (Paul & Adamo, 2014). (bartleby.com)
  • According to the Centers for Disease Control and Prevention of the United States, abusive head trauma (AHT) is most common in children under age 5, with children under one year of age at most risk. (bartleby.com)
  • The reason for this is that neurosurgeons in Japan promoted the concept that infants can develop subdural hematomas and retinal hemorrages due to minor trauma at home before the concept of abusive head trauma became known. (jkns.or.kr)
  • Since then, this condition with intraocular hemorrhage and subdural hematoma has been called "shaken baby syndrome" mainly in the USA, and more broadly, "abusive head trauma (AHT)" in recent years, and it has come to be regarded as a positive finding that raises suspicion of abuse [ 7 , 17 ]. (jkns.or.kr)
  • Doctors found the baby to have numerous injuries and told authorities they suspected child maltreatment, physical abuse, including abusive head trauma on more than one occasion, constituting battered child syndrome. (dailyjournalonline.com)
  • BACKGROUND: Retinal hemorrhages (RHs) are suggestive of abusive head trauma (AHT). (bvsalud.org)
  • Flawed theories are being used in the courtroom to make the science that supports a diagnosis of physical child abuse look debatable, when, in fact, "there is no significant controversy about the diagnosis of physical abuse and abusive head trauma in clinical medicine," according to an opinion piece published online recently in JAMA . (medscape.com)
  • Anti-vascular endothelial growth factor (VEGF) drugs like Avastin and Lucentis have also been shown to repair retinal hemorrhaging in diabetic patients and patients with hemorrhages associated with new vessel growth. (wikipedia.org)
  • An interruption in blood supply to the eye can produce a vascular retinopathy, which is a noninflammatory retinal disorder. (doctor-clinic.org)
  • Discontinue if the following develop jaundice, visual problems associated with retinal vascular lesions (may cause contact lens intolerance), any signs of VTE, migraine with unusual severity, significang blood pressure increase, severe depression, increased risk of thromboembolic complications after surgery. (medscape.com)
  • High-altitude pulmonary edema (HAPE) and high-altitude cerebral edema (HACE) are the most ominous of these symptoms, whereas acute mountain sickness (AMS), retinal hemorrhages, and peripheral edema are milder forms of the disease. (medscape.com)
  • Subdural hematoma in infants can be caused by abuse, and is thought to be more likely if subdural hematoma is associated with retinal hemorrhage and cerebral edema. (jkns.or.kr)
  • In Japan, few doctors disagree that cases of subdural hematoma with retinal hemorrhage and cerebral edema with multiple findings on the body are more likely to have been caused by abuse rather than by household accident. (jkns.or.kr)
  • Some symptoms may include: Seeing floaters in the vision Seeing cobwebs in the vision Seeing haze or shadows Distorted vision Rapid flashes of light in peripheral vision Red tint to vision Blurriness Sudden blindness Headache In adults, retinal hemorrhages are largely spontaneous, secondary to chronic medical conditions such as hypertension. (wikipedia.org)
  • Obliterating feeder vessels by retinal photocoagulation has been used to cause infarction of peripheral neovascular beds. (medscape.com)
  • However, an attempt is made to release the occlusive plaque or emboli into the peripheral retinal circulation. (doctor-clinic.org)
  • The link between hypoxia and extensive retinal hemorrhages is well established in both adults and neonates, and provides an alternative explanation in many cases where abuse is alleged[citation needed]. (wikipedia.org)
  • The widely accepted pathogenesis for sickle cell retinopathy is vasoocclusion that leads to retinal hypoxia, ischemia, infarction, neovascularization, and fibrovascularization. (medscape.com)
  • The spectrum of damage ranged from focal photoreceptor defects to macular foramina and retinal hemorrhages associated with loss of visual acuity and central scotoma. (aerzteblatt.de)
  • Macular foramina and extensive hemorrhages can be treated surgically. (aerzteblatt.de)
  • For retinal hemorrhages associated with hypertension, blood pressure can be controlled by having regular blood pressure check ups, frequent exercise, monitor daily food intakes and to practice a stress-free lifestyle. (wikipedia.org)
  • Hypertensive retinopathy results from prolonged hypertension, which produces retinal vasospasm and consequent damage to and narrowing of the arteriolar lumen. (doctor-clinic.org)
  • Renal angiomyolipomas (AML) develop during childhood with a higher risk of growth during adolescence and adulthood and manifest by pain, hematuria/retroperitoneal hemorrhage, abdominal masses, hypertension and renal failure. (orpha.net)
  • Intracranial pressure in African children with cerebral malaria. (kemri-wellcome.org)
  • In 1974, Caffey [ 3 ] proposed the concept of "the whiplash shaken infant syndrome" as a condition in which head shaking causes intracranial and intraocular hemorrhage, resulting in irreversible brain damage and mental retardation. (jkns.or.kr)
  • OBJECTIVE: To determine the prevalence and patterns of RHs associated with increased intracranial pressure (ICP) in young children. (bvsalud.org)
  • These hemorrhages can be seen in all layers of the retina and may be unilateral or bilateral. (aao.org)
  • The child suffered bilateral subdural hematomas, diffuse brain injury, ligamentous and posterior para-spinal muscle injury in the upper cervical spine, bilateral numerous retinal hemorrhages, as well as injuries in the state of healing that included rib fractures, and distal radius and tribal fractures. (dailyjournalonline.com)
  • Consistent bilateral retinal hemorrhage severity was observed in 83.2% of the cases. (bvsalud.org)
  • Importance: Previous studies of myo-inositol in preterm infants with respiratory distress found reduced severity of retinopathy of prematurity (ROP) and less frequent ROP, death, and intraventricular hemorrhage. (stanford.edu)
  • Preventive measures such as regular prenatal care and monitoring of infants with high risks of the disorder may be done to avoid further complications of retinal hemorrhages in infants. (wikipedia.org)
  • Experts point out that potential dangers of the game include bruising, concussion, seizures, brain death or damage, retinal hemorrhaging, strokes and death. (koreatimes.co.kr)
  • With the use of contemporary neuroimaging techniques the number of children with 'idiopathic' partial complex seizures has declined. (researchgate.net)
  • Retinal hemorrhage (UK English: retinal haemorrhage) is a disorder of the eye in which bleeding occurs in the retina, the light sensitive tissue, located on the back wall of the eye. (wikipedia.org)
  • The mechanism of retinal hemorrhage associated with subdural hematoma has been postulated to be due to traction between the retina and vitreous body caused by shaking [ 15 ]. (jkns.or.kr)
  • Circumferential scatter photocoagulation places laser burns over a retinal zone of one of the following: at least 3 disc diameter areas of the nonperfused retina, as outlined by fluorescein angiography, or the entire avascular retina, as determined by fluorescein angiography or estimated by the distribution of the occluded vessel. (medscape.com)
  • In May 2022, CDC learned of three children in California encounters from patients aged 18 years with a primary or hospitalized concurrently for brain abscess, epidural empyema, secondary discharge diagnosis of International Classification or subdural empyema caused by Streptococcus intermedius . (cdc.gov)
  • Monitor for bleeding including hematocrit, hemoglobin in patients with hemorrhagic risk factors (eg, recent surgery, peptic ulcer, cerebral and/or retinal bleeding). (empr.com)
  • 9 Physician refusal to engage with agencies of the state on behalf of children may also be explained by doctors' reluctance to expose their patients to the possibly incompetent intrusions of underfunded, capricious, and unpredictable child protection programs. (elinewberger.com)
  • With regard to the doctrine of confidentiality, although the child abuse reporting statutes make clear one's obligation to divulge private information, this obligation will nearly always come as a surprise to the families of child patients. (elinewberger.com)
  • Older patients were exposed to a higher number of drugs, and the majority of serious reactions involved children and older patients. (smw.ch)
  • SEGA affects 10 to 20% of tuberous sclerosis complex (TSC) patients, almost exclusively children and young adults. (orpha.net)
  • CONCLUSION: Asian PEHCR patients seem to be more frequently associated with vitreous hemorrhages, especially in male patients with thicker choroids. (bvsalud.org)
  • Retinal hemorrhages in 4 patients with ents mentioned the family cat, which affecting both a human and a domes- dengue fever. (cdc.gov)
  • In May 2022, CDC learned of three children in California hospitalized concurrently for brain abscess, epidural empyema, or subdural empyema caused by Streptococcus intermedius . (medscape.com)
  • As of January 2022, fourteen states authorized the death penalty for the murder of a child victim, and five states that later abolished the death penalty also had a child-victim aggravating circumstance. (deathpenaltyinfo.org)
  • Levin did his ophthalmology residency at Wills Eye Hospital in Philadelphia, and then his pediatric ophthalmology fellowship at the Hospital for Sick Children in Toronto, where he also began his career as an ocular geneticist, another way to combine his interest in pediatric systemic disease with the surgical specialty. (rochester.edu)
  • Levin also has experience treating children for conditions such as glaucoma and cataracts, which are largely genetic, as well as adults with ocular genetic disorders. (rochester.edu)
  • The most common ocular manifestation of AHT, present in approximately 80% of cases, is retinal hemorrhage. (aao.org)
  • Injur y metrics were the occurrence and extent of axonal injur y (AI), extra-axial hemorrhage (EAH), red cell neuronal/axonal change (RCNAC), and ocular injur y (OI). (cdc.gov)
  • Neonatal retinal hemorrhage (RH) is the most common ocular fundus disease among newborns. (bvsalud.org)
  • The schools were chosen us- about ocular manifestations of eyestrain ing multistage random sampling technique and previous ophthalmic problems was re- from 4 different educational divisions in viewed with the school file of the children, Cairo governorate. (who.int)
  • Detailed information on retinal hemorrhage, including involved eyes, bleeding severity, and affected area (extrafoveal macula, fovea, or optic disc), and clinical information on the neonates and their mothers was collected. (bvsalud.org)
  • The results showed that among the 1072 eligible neonates, 266 (24.8%) had neonatal retinal hemorrhage. (bvsalud.org)
  • 13 ] summarized the characteristics of abusive trauma and published it as battered child syndrome. (jkns.or.kr)
  • Resource limitations in LMICs necessitate trauma prevention and thoughtful resource allocation and utilization in the care of injured children. (frontiersin.org)
  • When a child presents at a hospital or medical clinic with bruising, broken bones, head trauma, or other physical evidence that doesn't correspond with the explanation given, other possibilities are investigated. (medscape.com)
  • Retinal hemorrhage is strongly associated with child abuse in infants and young children and often leaves such abused infants permanently blind. (wikipedia.org)
  • Moreover, the settings in which adolescents are murdered are materially different from those in which infants and young children die. (deathpenaltyinfo.org)
  • 2016. Dr N-F.CALLAWAY et al : Retinal and optic nerve hemorrhages in the newborn infant. (atide-asso.org)
  • The disposition of oral and intramuscular pyrimethamine/sulphadoxine in Kenyan children with high parasitaemia but clinically non-severe falciparum malaria. (kemri-wellcome.org)
  • Blood transfusions for severe anaemia in African children. (kemri-wellcome.org)
  • Quinine treatment of severe falciparum malaria in African children: a randomized comparison of three regimens. (kemri-wellcome.org)
  • Why do some African children develop severe malaria? (kemri-wellcome.org)
  • Homozygous sickle cell disease (SS disease), sickle cell C disease (SC disease), and sickle cell-thalassemia disease (S-Thal disease) are common hemoglobinopathies that can present with mild-to-severe proliferative retinal findings. (medscape.com)
  • Recent years have seen a marked increase in laser-pointer-related injuries, which sometimes involve severe retinal damage and irreversible visual impairment. (aerzteblatt.de)
  • Intravitreal injections of angiogenesis-blocking antibodies (eg, bevacizumab ) show promise as an off-label treatment option for retinal angioid streaks. (merckmanuals.com)
  • Whereas retinal haemorrhage and uveitis are known adverse reactions to angiogenesis inhibitors, the reported cases of blindness and death should heighten awareness of potential safety issues associated with VEGF inhibitors for the treatment of proliferative eye disorders. (smw.ch)
  • 2015. Dr V.VLASYUK : Nosology lesions of the white matter of the brain in newborns and young children. (atide-asso.org)
  • AHT, also known as shaken baby syndrome or inflicted traumatic brain injury can be caused by direct blows to the head, dropping or throwing a child, or shaking a child. (bartleby.com)
  • SBS is said to involve a telltale "triad" of symptoms-brain swelling, brain hemorrhaging, and retinal hemorrhaging. (umich.edu)
  • Kaleb suffered haemorrhages in his brain and eyes and died a week later in hospital when his life support was switched off. (theage.com.au)
  • Even if an infant is briefly violently shaken in a moment of frustration, the accelerated, rotational force leads the child's brain to roll back and forth, causing it to bleed and produce retinal haemorrhages. (theage.com.au)
  • The jury listened intently not long ago as Dr. Dan Leonhardt of Legacy Emmanuel Children's Hospital testified that the baby died of brain hemorrhaging from shaking. (baltimorepostexaminer.com)
  • Little is known about the possible causes or mechanisms of labor dystocia and brain and retinal hemorrhage. (plos.org)
  • At the recent American Academy of Pediatrics 2017 National Conference , pediatricians met to discuss child abuse and neglect and address discrepant interpretations of findings with child welfare and the courts. (medscape.com)
  • Vitrectomy should be considered if there is a risk of amblyopia due to persistent vitreous hemorrhage. (aao.org)
  • Laser pointers can cause persistent retinal damage and visual impairment. (aerzteblatt.de)
  • When a retinal vessel becomes obstructed, the diminished blood flow causes visual deficits. (doctor-clinic.org)
  • In addition, many pediatricians said that they would like to photoscreen children at their yearly well-child visits, to identify the 1 to 2 children per hundred with amblyopia so they can receive prompt treatment from ophthalmologists. (contemporarypediatrics.com)
  • It 's difficult to comprehend that an adult, often a parent or caregiver, would intentionally hurt an infant or child. (bartleby.com)
  • When present in an infant who has no outward signs of abuse, this triad of symptoms indicates that the child has been violently shaken. (umich.edu)
  • The couple is charged with one count of second-degree child cruelty in connection with allegations that the infant was dropped in August by her mother. (fox5atlanta.com)
  • When the infant was examined at Children's Healthcare of Atlanta, medical professionals discovered older injuries that suggested previous abuse, according to GBI officials. (fox5atlanta.com)
  • An indictment against the couple alleges the infant sustained a fractured rib, retinal hemorrhage, and subdural hemorrhages. (fox5atlanta.com)
  • For example, "bucket handle fractures and corner fractures - very specific to child abuse - are sometimes misidentified as rickets. (medscape.com)
  • 1957. Dr M.KAUFFMAN : Retinal hemorrhages in the newborn. (atide-asso.org)
  • 2012. Dr P.WATTS et al : Newborn retinal hemorrhages. (atide-asso.org)
  • Dr. Kathryn Wells, who was part of Kyran's treatment in Denver and testified at Krystal Voss' trial, did not believe that Ramirez's account of the child falling from his shoulders was consistent with his symptoms. (alamosanews.com)
  • Although most eye injuries in childhood are accidental or innocently caused by other children, a significant number of them result from physical abuse by adults. (aao.org)
  • Management includes documentation and treatment of any injuries and physical and mental health conditions, mandatory reporting to appropriate government agencies, and sometimes hospitalization and/or foster care to keep the child safe. (msdmanuals.com)
  • A 2013 report revealed that about 4,400 children suffer amusement park injuries yearly. (glennlawfirm.com)
  • These links will lead to additional child abuse resources for professionals, families, and survivors of child maltreatment. (dontshake.org)
  • Child maltreatment includes all types of abuse and neglect of a child under the age of 18 by a parent, caregiver, or another person in a custodial role (eg, clergy, coach, teacher) that results in harm, potential for harm, or threat of harm to a child. (msdmanuals.com)
  • The causes of child maltreatment are varied. (msdmanuals.com)
  • In 2020, 3.9 million reports of alleged child maltreatment were made to Child Protective Services (CPS) in the US involving 7.1 million children. (msdmanuals.com)
  • About two thirds of all reports to Child Protective Services were made by professionals who are mandated to report maltreatment (eg, educators, law enforcement personnel, social services personnel, legal professionals, day care providers, medical or mental health personnel, foster care providers). (msdmanuals.com)
  • Many children were victims of multiple types of maltreatment. (msdmanuals.com)
  • About 1750 children died in the US of maltreatment in 2020, about half of whom were 1 year old. (msdmanuals.com)
  • About 73% of these children were victims of neglect and 43% were victims of physical abuse with or without other forms of maltreatment. (msdmanuals.com)
  • Potential perpetrators of child maltreatment are defined slightly differently in different US states, but, in general, to legally be considered abuse, actions must be done by a person responsible for the child's welfare. (msdmanuals.com)
  • Our research shows that you see the hemorrhages in a variety of different situations in infants, children and adults,' said Dr. Lantz, senior researcher involved in the study. (medindia.net)
  • Consider prophylactic medications in addition to gradual ascent for adults and children at moderate to high risk. (medscape.com)
  • Children are expected to be exposed to methyl parathion by the same routes that affect adults. (cdc.gov)
  • among children but not among adults. (cdc.gov)
  • On the other hand, in cases where there are no other significant physical findings, only subdural hematoma and retinal hemorrhage, there is a difference of opinion as to whether the injury was caused by an accident or abuse. (jkns.or.kr)
  • We asked children if school year 2003-04 in 12 urban govern- they had suffered from redness of the eyes, ment schools: 4 primary schools, 4 male head pains (headache) or difficulty reading preparatory schools and 4 female prepara- the blackboard at school. (who.int)
  • The Child Abuse and Neglect Team at Cincinnati Children's provides clinical updates of related publications for child protection professionals. (cincinnatichildrens.org)
  • Child abuse includes emotional abuse, sexual abuse, and neglect as well as physical abuse. (aao.org)
  • It is now manifestly clear that physician response to child abuse and neglect is variable. (elinewberger.com)
  • Child abuse can be defined differently from state to state, but commonly presents in the form of physical, emotional, and sexual abuse, neglect and abandonment. (bartleby.com)
  • Out of the 3.3 million referrals, 899,000 children were officially documented as being maltreated(Child Abuse & Neglect 2015). (bartleby.com)
  • Haley's Law Aggravated child abuse and aggravated child neglect or endangerment Definitions. (justia.com)
  • Justia US Law US Codes and Statutes Tennessee Code 2010 Tennessee Code Title 39 - Criminal Offenses Chapter 15 - Offenses Against the Family Part 4 - Children 39-15-402 - Haley's Law Aggravated child abuse and aggravated child neglect or endangerment Definitions. (justia.com)
  • Mental retardation (MR) is a life long condition that affects 6 million American and 560,000 Canadian children under the age of 14. (researchgate.net)
  • In our series of 7 cases, we documented impaired visual acuity, central visual field defects, circumscribed and sometimes complex changes of retinal reflectivity, and intraretinal fluid. (aerzteblatt.de)
  • Infection with Pneumocystis carinii is prevalent in healthy Gambian children. (kemri-wellcome.org)