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Subconjunctival haemorrhages

The following is a summary of the systematic review findings up to the date of our most recent literature search. If you have a specific clinical case, we strongly recommend you read all of the relevant references as cited and look for additional material published outside our search dates.

 

Two studies reported sixteen children presenting with subconjunctival haemorrhages 1,2. All of these were aged 1-68 months

 

Twelve of the sixteen presented due to the subconjunctival haemorrhages, eight of the sixteen were bilateral

 

Co-existent injuries were identified in fourteen out of sixteen children. These injuries included fractures, burns, bruises, abusive head trauma

 

Its notable that in two of three cases of infants less than 5 months of age who presented with subconjunctival haemorrhages, abuse was not recognised during these assessments and the infants re-presented some weeks later 2

 

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References

  1. DeRidder CA, Berkowitz CD, Hicks RA, Laskey AL. Subconjunctival hemorrhages in infants and children: a sign of nonaccidental trauma. Pediatric Emergency Care. 2013;29(2):222-226 [Pubmed]

  2. Spitzer SG, Luorno J, Noël LP. Isolated subconjunctival hemorrhages in nonaccidental trauma. Journal of AAPOS. 2005;9(1):53-56 [Pubmed]

 

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