| Summary: | Background: Shaken baby syndrome is a form of non-accidental trauma caused from violently shaking a child. The classic triad of findings includes retinal hemorrhages, subdural hemorrhages, and encephalopathy. In addition to these symptoms, many long-term outcomes are related to physical disabilities, cognitive impairments, behavior disorders, and visual processing disorders. Case Summary: An 11-year-old African-American male presented for a comprehensive eye examination with the complaint of an eye turn. The patient suffered from shaken baby syndrome as an infant, which resulted in swelling of his right optic nerve. As a result, the patient had right optic nerve atrophy, a constant right exotropia, myopic anisometropia, and decreased best-corrected visual acuity. A new glasses prescription was written, and the parents were informed of the importance of regular comprehensive eye exams and possibilities for visual aids/therapy to help with his activities of daily living. Discussion: Developmental outcomes related to shaken baby syndrome can include many visual and behavioral disorders. Additionally, patients with a history of shaken baby syndrome typically show problems with visual memory, cognitive impairment, and behavioral disorders.
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