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360 degree giant retinal tear as a result of presumed non-accidental injury
  1. S C Lash,
  2. C P R Williams,
  3. A J Luff,
  4. P R Hodgkins
  1. Southampton Eye Unit, Southampton General Hospital, Tremona Road, Southampton SO16 6YD, UK
  1. Correspondence to: Mr Stephen C Lash Southampton Eye Unit, Southampton General Hospital, Tremona Road, Southampton SO16 6YD, UK; stevelashdoctors.org.uk

https://doi.org/10.1136/bjo.88.1.155

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    Giant retinal tears are defined as retinal tears extending 90 degrees or more around the circumference of the fundus.1 They most commonly occur spontaneously but are associated with direct trauma in 20–25% of cases.2,3 We report the case of a 360 degree giant retinal tear occurring in a baby girl as a result of presumed non-accidental injury (NAI).

    Case report

    A 4 month old girl presented with iris heterochromia, bruising over the left eye, a right relative afferent pupillary defect, and a right vitreous haemorrhage. She was born at 28 weeks gestation by normal vaginal delivery, screening for retinopathy of prematurity by the college recommendations detected no abnormality. She was bottle fed and gaining weight. There was no previous medical history and the child was not on any medication. The mother was an injecting drug user and the girl …

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