Management Strategy

Suspicion of a child abuse requires a multidisciplinary approach and a careful documentation (e.g., photography and ultrasonography) of all findings. If violence is suspected, a detailed systemic examination has to be performed. The ophthalmologist has a key role because of the pathognomic appearance of the fundus (other causes of retinal hemorrhages have to be carefully ruled out; Table 3.3.1).

Table 3.3.1 Differential diagnosis of traumatic retinopathy. (Modified after [3])

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