Unilateral retinal hemorrhages in shaken baby syndrome

Introduction: Bilateral retinal hemorrhages are pathognomonic finding in shaken baby syndrome. The presumed cause of this retinal hemorrhages in the setting of shaken baby syndrome is a repeated acceleration-deceleration injury. However, given the mechanism of injury, bilateral rather than unilateral retinal hemorrhages are expected. Case Series: We present a series of seven diagnosed cases of shaken baby syndrome in which retinal hemorrhages were unilateral. Conclusion: Our findings along with existing evidence suggest that the presence of unilateral retinal hemorrhage should not rule out the possibility of child abuse. A comprehensive clinical assessment, including physical examination, imaging, laboratory tests, and history, remains crucial in identifying non-accidental trauma (NAT).