Скачать или смотреть Abusive Head Trauma (Non-Accidental Injury) | Ophthalmic Findings & Safeguarding

In this session we discuss abusive head trauma (AHT), focusing on the ophthalmologist’s role in recognising key ocular signs, documenting findings accurately, and contributing to safeguarding decisions. The talk emphasises retinal haemorrhage patterns, differential diagnoses, and the importance of careful examination and reporting in suspected non-accidental injury, particularly in infants and young children.

Key themes include:
⭐ Definition and mechanisms of abusive head trauma, including shaking with or without impact.
⭐ Typical retinal haemorrhage patterns seen in AHT, including multilayered, bilateral, and peripheral involvement.
⭐ Differentiating abusive head trauma from accidental injury, birth-related haemorrhages, and medical causes.
⭐ Full ophthalmic examination in suspected AHT, including anterior and posterior segment findings.
⭐ The relationship between ocular findings and intracranial injury.
⭐ Principles of documentation, including use of standardised proformas and retinal imaging.
⭐ The ophthalmologist’s role within the wider safeguarding and multidisciplinary team.

Take-home messages:
🌟 Extensive, multilayered retinal haemorrhages are a key red flag for abusive head trauma.
🌟 Small or resolving haemorrhages do not exclude previous significant injury.
🌟 Careful, objective documentation is critical and may be used in legal proceedings.
🌟 Ophthalmologists play an essential supportive role in safeguarding assessments.

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