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Images in neonatal medicine
Extensive retinal haemorrhages in a neonate
  1. Mira Parmar1,
  2. Sankara Narayanan1,
  3. Gillian Adams2,
  4. Nazakat Merchant1
  1. 1 Department of Neonatology, West Hertfordshire NHS Trust, Watford General Hospital, Watford, UK
  2. 2 Department of Opthalmology, Moorfields Eye Hospital NHS Foundation Trust, London, UK
  1. Correspondence to Dr Mira Parmar, Department of Neonatology, West Hertfordshire NHS Trust, Watford General Hospital, Vicarage Road, Watford, WD18 0HB, UK; mira.parmar{at}nhs.net

https://doi.org/10.1136/archdischild-2017-312966

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    Retinal haemorrhages (RH) raises the possibility of non-accidental injury, and safeguarding procedures are often initiated. Birth injury and haematological disorders can also result in RH. We describe images of RH noted during retinopathy of prematurity screening in an ex-31 weeks’ gestation, second of twin pregnancy, born by spontaneous vaginal delivery (figure 1). Safeguarding concerns were raised, as the twins were rooming in and mother booked late. There were no signs of trauma with …

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    Footnotes

    • Contributors MP wrote the case report with support from NM. SN and NM were involved in the care of the patient and also went through the case report and made the necessary changes. GA as the tertiary ophthalmologist expert reviewed case report and suggested changes and advice. NM made the final changes post comments and reviewed the final case report before submission.

    • Competing interests None declared.

    • Patient consent Obtained from the parents/guardian.

    • Provenance and peer review Not commissioned; externally peer reviewed.