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Implications for practice

  • Fundal examination must be conducted by an ophthalmologist with papillary dilatation and use of indirect ophthalmoscopy in order to ensure that haemorrhages to the periphery are accurately noted
  • Retinal haemorrhages are a rare finding in accidental trauma and are predominantly associated with high impact head injury or crush injury
  • It is recommended that children undergoing ophthalmological examination for suspected abuse have standardised recording of all retinal findings


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