Retinal pigment epithelial tear in shaken baby syndrome.

R etinal hemorrhages are the most commonly reported ocular findings in shaken baby syndrome (SBS) in children. The intraocular hemorrhages can vary considerably not only in size and severity but also in location. Shaken baby syndrome can also cause several structural retinal abnormalities including perimacular folds, traumatic retinoschisis, vitreomacular traction, retinal pigmentary changes, and macular holes. Although these observations have been well documented in the literature, retinal pigment epithelial (RPE) tears have not been described in the setting of SBS.