Policy for ophthalmology consultation in suspected non-accidental trauma

Policy for ophthalmology consultation in suspected non-accidental trauma

Department of Ophthalmology

University of Kentucky

July 1, 2021

Rationale:  To provide a guideline on appropriate circumstances to consult ophthalmology in patients with suspect non-accidental trauma.  Recent literature1 and our internal review of data2 demonstrate the significant association between abnormal neuroimaging and presence of retinal hemorrhages.

Policy:  Please consult ophthalmology for screening exams only in patients with positive intracranial imaging findings.

References:

1. Ip SS, Zafar S, Liu TYA, et al. Nonaccidental trauma in pediatric patients: evidence-based screening criteria for ophthalmic examination. J AAPOS 2020;24(4):226.e1-226.e.5.

2. Gagel J, Musselwhite B, Moore DB. Non-Accidental Trauma. Resident Research Day, University of Kentucky, Department of Ophthalmology and Visual Sciences: July 11, 2021.