Navigation Links
Severe retinal hemorrhaging is linked to severe motor vehicle crashes

The severity of retinal hemorrhaging for young children in motor vehicle crashes is closely correlated to the severity of the crash, according to a new study by researchers at the Medical College of Wisconsin in Milwaukee. Retinal hemorrhages occur when the blood vessels lining the retina rupture, resulting in bleeding onto the surface of the retina.

The study, by Jane Kivlin, M.D., and Kenneth Simons, M.D., professors of ophthalmology at the Medical College, is published in the June issue of Archives of Ophthalmology.

"The severity of the retinal injuries is similar to that seen in nonaccidental childhood neurotrauma, or shaken baby syndrome," according to Dr. Kivlin, a pediatric ophthalmologist and lead author, who sees patients at Children's Hospital of Wisconsin. "Many perpetrators of shaken baby syndrome have confessed to violently shaking the child, subjecting the child to severe rotational force."

The retrospective study examined ten cases of children younger than three years taken from autopsies performed by the Milwaukee County medical examiner from January 1, 1994, to December 31, 2002. All patients died in motor vehicle crashes as passengers or pedestrians. They were subjected to extremely severe forces involving rapid deceleration with a rotational, or whiplash-like, component.

For each case, all available medical and autopsy records, including pathology slides, photographs, and police and traffic department records, were reviewed. All patients suffered severe head injuries in the accidents. Skull fractures were found in all but three patients. In six patients, improper restraints and direct blows were found to contribute to their injuries.

"These were all extremely high-force injury mechanisms that far exceed those involved in common or even uncommon household accidents," says Dr. Kivlin.

Of the ten cases, extensive retinal hemorrhages were found in eight patients, similar to the severe hemorrhages seen in shaken baby syndrome. Two patients had no signs of retinal hemorrhaging, but nine of the ten patients were found to have optic nerve sheath hemorrhages, which are also commonly found in shaken babies.

"Hemorrhages of this degree have rarely been reported in accidental trauma, even with skull fractures. But most of the reported patients did not die of their trauma. So we conclude that severe hemorrhages reflect severe trauma," says Dr. Kivlin.

"The association of extensive, sometimes severe, ocular hemorrhages with fatal accidental trauma, compared with previous reports of accidental trauma with no or few hemorrhages, indicates the severity of injury required to cause hemorrhages of this magnitude."


Contact: Toranj Marphetia
Medical College of Wisconsin

Related medicine news :

1. High quality of life in spite of very severe disease
2. Evalve MitraClip: Clinical trial of nonsurgical repair for severe mitral valve regurgitation
3. Vusion Baby Bottom Line Report: Many Moms Dont Know that Their Babies Irritated Skin Could Indicate a Severe Diaper Rash that Requires Medical Treatment
4. Inexpensive Compound Could Treat Severe Diarrhea
5. Joint distraction promotes structural repair in patients with severe knee osteoarthritis
6. Rheumatoid arthritis factors equal to cardiovascular factors in risk of severe cardiovascular events
7. Ovarian function and fertility preserved in women with severe systemic lupus erythematosus
8. Lupus more severe in patients with Southern European ancestry
9. Combat Vets Display Severe Sleep Disorders
10. Two Drugs Show Promise Against Severe Constipation
11. Secondhand Smoke Leaves Kids Prone to Severe Infections
Post Your Comments:
(Date:11/28/2015)... ... 2015 , ... Trying to relax on a couch can actually be uncomfortable, ... this design due to personal experience with a bad back," he said. , This ... as well as increases support. It also makes it easier to eat, do other ...
(Date:11/28/2015)... ... November 28, 2015 , ... Pixel Film Studios is ... panels to choose from, the possibilities are endless. Users have full control over angle ... ProPanel: Pulse masking effects, users are sure to get heads to turn. , ProPanel: ...
(Date:11/27/2015)... ... , ... According to an article published November 13th on, ... D.C. revolved around the fact that proper dental care, both at-home and in the ... between periodontal disease (more commonly referred to as gum disease) and diabetes. According to ...
(Date:11/27/2015)... CO (PRWEB) , ... November 27, 2015 , ... According ... cities are not changing the way that they are handling security in light of ... police and security presence in an attempt to stop an attack from reaching U.S. ...
(Date:11/27/2015)... ... 27, 2015 , ... A team of Swiss doctors has released a report ... has just posted the findings on the website. Click here to read the ... 136 mesothelioma patients who were treated with chemotherapy followed by EPP surgery. Among the ...
Breaking Medicine News(10 mins):
(Date:11/26/2015)... , November 26, 2015 ... "Self Administration of High Viscosity Drugs" ... ) has announced the addition of the ... to their offering. --> Research and ... of the "Self Administration of High Viscosity ...
(Date:11/26/2015)... , November 26, 2015 ... of the "Radioimmunoassay Market by Type ... Pharmaceutical Industry, Academics, Clinical Diagnostic Labs), Application ... Forecast to 2020" report to their ... announced the addition of the "Radioimmunoassay ...
(Date:11/25/2015)... ) ... "Global Brain Monitoring Devices Market 2015-2019" ... ) has announced the addition of ... 2015-2019" report to their offering. ... ) has announced the addition of the ...
Breaking Medicine Technology: