Abstract
Shaken baby syndrome (SBS) is a leading cause of childhood trauma and results in significant morbidity and mortality. Systemic evaluation should be performed in any child suspected of SBS including physical exam, fundus photography, skeletal survey, neuroimaging, and serologies. One of the hallmark findings of SBS is innumerable retinal hemorrhages extending anterior to the equator. Treatment of ocular findings centers around amblyopia management and visual development and may require anterior scatter laser in cases of ischemia, or vitrectomy for non-clearing vitreous hemorrhage obstructing the visual axis, macular hole, and retinal detachment. Many infants with SBS may suffer from significant cortical vision loss and bilateral optic atrophy regardless of their ocular findings and treatment. The long-term visual prognosis of SBS is guarded.