Retinal findings in children with intracranial hemorrhage

Ophthalmology. 2002 Aug;109(8):1472-6. doi: 10.1016/s0161-6420(02)01086-2.


Purpose: To identify the incidence of Terson's syndrome in children.

Design: Prospective, observational case series.

Participants: Fifty-seven consecutive children with known intracranial hemorrhage from nonabuse causes.

Methods: Dilated fundus examination to detect intraretinal hemorrhages or other abnormalities.

Main outcome measures: Presence or absence of intraretinal hemorrhages or other abnormalities.

Results: Fifty-five patients (96%) had no evidence of intraretinal or vitreous hemorrhage. Two patients had abnormal retinal examinations. One patient had a single dot hemorrhage associated with presumed infectious white retinal lesions. The second patient had three flame and two deeper dot intraretinal hemorrhages after a motor vehicle accident (1.5% incidence of retinal hemorrhage).

Conclusions: Retinal hemorrhage is uncommon in children with intracranial hemorrhage not resulting from shaken baby syndrome. The maximal incidence of intraretinal hemorrhage in children with nonabuse intracranial hemorrhage is 8%.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Child
  • Child, Preschool
  • Female
  • Fundus Oculi
  • Humans
  • Incidence
  • Infant
  • Intracranial Hemorrhages / complications*
  • Male
  • Ontario / epidemiology
  • Prospective Studies
  • Retinal Hemorrhage / epidemiology
  • Retinal Hemorrhage / etiology*
  • Syndrome
  • Vitreous Hemorrhage / etiology