Bilateral circumferential macular folds in inflicted childhood neurotrauma.

PURPOSE: To report an infant with inflicted neurotrauma who exhibited bilateral circumferential macular folds. METHODS: Bedside ophthalmic examination and fundus photography using RetCam-II (Clarity Medical Systems, Pleasanton, CA). RESULTS: Both pupils were miotic and nonreactive. External and anterior segments showed no abnormality. The fundus showed bilateral diffuse multilaminar retinal, subhyaloid, and vitreous hemorrhages. Distinctive macular folds were noted bilaterally. CONCLUSION: Circumferential macular folds are most commonly found in abused infants, although it has been suggested that they may be associated with Terson syndrome and severe crush injury.