■虐待性头部创伤(AHT)是一种严重的身体虐待形式,会导致儿童的发病率和死亡率。经常表现为复杂的脑损伤。在各种表现形式中,眼科表现很关键,但开发不足,这可能为早期诊断和治疗提供必要的线索,改善长期视觉和神经系统的结果。
■本研究旨在探讨其表现形式,管理,以及中国一个中心五年内AHT病例的结果,重点关注眼科评估在加强诊断中的重要性,管理,和AHT的结果预测。
■在一家机构进行了回顾性病例系列研究,涉及2019年至2023年被诊断患有AHT的婴儿。人口统计数据,病史,并收集临床管理。眼科检查,包括眼底照相,眼部B超和荧光素眼底血管造影(FFA),进行评估视网膜血管系统和识别周围缺血性视网膜(PIR)。使用SPSSver进行统计分析。26.0.
■8名AHT患者(16只眼)被纳入研究。所有患者均观察到双侧眼部受累,81.25%表现为视网膜出血(RH)。其他表现包括视网膜脱离(31.25%)和视神经萎缩(18.75%)。临床干预各不相同,68.75%的患者接受激光光凝和抗血管内皮生长因子(VEGF)注射等治疗。在所有的眼睛中,75%显示RH的分辨率。尽管治疗,一些患者进展为严重疾病,如视网膜脱离(RD)和虹膜新生血管(INV).
■这项研究强调了多学科方法在AHT的诊断和管理中的重要性,特别是通过将眼科观点整合到患者护理中。这些发现有助于理解AHT的眼科表现。
UNASSIGNED: Abusive head trauma (AHT) is a severe form of physical abuse leading to significant morbidity and mortality in children, often presenting with complex brain injuries. Among the varied manifestations, ophthalmologic presentations are critical yet underexplored, which may provide essential clues for early diagnosis and management, improving long-term visual and neurological outcomes.
UNASSIGNED: This study aims to explore the manifestation, management, and outcomes of AHT cases within a single center in China over a five-year period, with a focus on the importance of ophthalmologic evaluation in enhancing the diagnosis, management, and outcome predictions of AHT.
UNASSIGNED: A retrospective case series was conducted at a single institution, involving infants diagnosed with AHT from 2019 to 2023. Data on demographics, medical histories, and clinical management were collected. Ophthalmologic examinations including fundus photography, ocular B-scan ultrasound and fundus fluorescein angiography (FFA), were performed to evaluate retinal vasculature and identify peripheral ischemic retina (PIR). Statistical analyses were performed using SPSS ver. 26.0.
UNASSIGNED: Eight AHT patients (16 eyes) were included in the study. Bilateral ocular involvement was observed in all patients, with 81.25% exhibiting retinal hemorrhages (RH). Other manifestations included retinal detachment (31.25%) and optic nerve atrophy (18.75%). Clinical interventions varied, with 68.75% of patients undergoing treatments such as laser photocoagulation and anti-vascular endothelial growth factor (VEGF) injections. Among all eyes, 75% showed resolution of RH. Despite treatment, some patients progressed to severe conditions such as retinal detachment (RD) and iris neovascularization (INV).
UNASSIGNED: This study emphasizes the importance of a multidisciplinary approach in the diagnosis and management of AHT, particularly by integrating ophthalmological perspectives into patient care. These findings contribute to the understanding of ophthalmologic presentations in AHT.