Abstract
Aims
Woodpeckers possess mechanisms protecting the eye from shaking/impact. Mechanisms available to woodpeckers but not humans may help explain some eye injuries in Shaken Baby syndrome (SBS).
Methods
Gross dissection and histologic examination of eyes and orbits of seven woodpeckers.
Results
All birds showed restricted axial globe movement due to the tight fit within the orbit and fascial connections between the orbital rim and sclera. The sclera was reinforced with cartilage and bone, the optic nerve lacked redundancy, and the vitreous lacked attachments to the posterior pole retina.
Conclusions
Woodpecker eyes differ from human infants by an inability of the globe to move axially in the orbit, the sclera to deform, and the vitreous to shear the retina. These findings support current hypotheses that abusive acceleration–deceleration-induced ocular injury in human infants may be related to translation of vitreous within the globe and the globe within the orbit. The woodpecker presents a natural model resistant to mechanical forces that have some similarity to SBS.
Similar content being viewed by others
Log in or create a free account to read this content
Gain free access to this article, as well as selected content from this journal and more on nature.com
or
References
Ludwig S, Warman M . Shaken baby syndrome: a review of 20 cases. Ann Emerg Med 1984; 13: 51–54.
Duhaime AC, Gennarelli TA, Thibault LE, Bruce DA, Margulies SS, Wiser R . The shaken baby syndrome: a clinical, pathological, and biomechanical study. J Neurosurg 1987; 6: 409–415.
Hadley M, Sonntag UK, Rekate HL, Murphy A . The infant whiplash-shake injury syndrome: a clinical and pathological study. Neurosurgery 1989; 24: 536–540.
Harcourt B, Hopkins D . Ophthalmic manifestations of the battered baby syndrome. Br Med J 1971; 3: 398–401.
Mushin A . Ocular damage in the battered-baby syndrome. Br Med J 1971; 3: 402–404.
Levin AV . Retinal hemorrhages and child abuse. In: David TJ (ed). Recent Advances in Paediatrics. Churchill Livingstone: London, 2000 pp 151–160.
Duhaime AC, Christian CW, Rorke LB, Zimmerman RA . Nonaccidental head injury in infants-the ‘shaken baby syndrome’. N Engl J Med 1998; 338: 1822–1829.
Barron KD, Dentinger MP, Kimelber HK, Nelson LR, Bourke RS, Keegan S et al. Ultrastructural features of a brain injury model in the cat: I. Vascular and neuroglial changes and the prevention of astroglial swelling by a fluorenyl (aryloxy) alkanoic acid derivative (L-644,711). Acta Neuropathol (Berlin) 1988; 75: 295–307.
Smith SL, Andrus PK, Gleason DD, Hall ED . Infant rat model of shaken baby syndrome: preliminary characterization and evidence role of free radicals in cortical hemorrhaging and progressive neuronal degeneration. J Neurotrauma 1988; 15: 693–705.
Bonnier C, Mesples B, Carpentier S, Henin D, Gressens P . Delayed white matter injury in a murine model of shaken baby syndrome. Brain Pathol 2002; 12: 320–328.
May PR, Fuster JM, Haber J, Hirschman A . Woodpecker drilling behavior, an endorsement of the rotational theory of impact brain injury. Arch Neurol 1979; 36: 370–373.
Sielman H . My year with the woodpeckers (translated from German by Sidney Lightman). Barrie and Rockliff: London, 1994.
Becher F . Untersuchungen an spechten zur trage der funktionellen anpassung an die mechanische belastrung. Z Naturforsch 1953; 2-203.
Gilliland M, Folberg R . Shaken babies—some have no impact injuries. J Forensic Sci 1996; 41: 114–116.
Budenz D, Farber MG, Mirchandani HG, Park H, Rorke LB . Ocular and optic nerve hemorrhages in abused infants with intracranial injuries. Ophthalmology 1994; 3: 559–565.
Elner SG, Elner VM, Arnall M, Albert DM . Ocular and associated systemic findings in suspected child abuse: a necroscopy study. Arch Ophthalmol 1990; 8: 1094–1101.
Gilliland M, Luckenbach M, Chenier T . Systemic and ocular findings in 169 prospectively studied child deaths: retinal hemorrhages usually mean child abuse. Forensic Sci In 1994; 68: 117–132.
Duke-Elder S, Wyber KC . The Eye. In: Elder D (ed). System of Ophthalmology, The Anatomy of the visual system. Henry Kimpton: London, 1961 pp 1, 2, 83.
Watson P . Diseases of the sclera and episclera. In: Duane TD (ed). Duane's Clinical Ophthalmology. Lippincott Williams & Wilkins: Philadelphia, 1998 pp 4, 23.
Murphy CJ . Raptor ophthalmology. Comp Cont Educ Pract Vet 1987; 9: 256.
Schwab IR . Cure for a headache. Br J Ophthalmol 2002; 86: 843–845.
Weinberg H, Tunnessen W . Megacephaly: heeding the head. Contemp Pediatr 1969; 13: 169–175.
Andrews AP . Ocular manifestations of chid abuse. Penn Med 1996; 995: 71–75.
Betz M . Morphological analysis of retinal hemorrhages in the shaken baby syndrome. Forensic Sci Int 1996; 78: 71–80.
Dana M, Werner MS, Viana MA, Shapiro MJ . Spontanous and traumatic vitreous hemorrhage. Ophthalmology 1993; 100: 1377–1383.
May PRA, Fuster JM, Newman P, Hirschman A . Woodpeckers and head injury. Lancet 1976; 1: 454–455.
Gordon D . Woodpeckers, gannets, and head injury. Lancet 1976; 1: 801–802.
Burt WH . Adaptive modifications in woodpeckers. Univ Calif Publ Zool 1930; 32: 455–524.
Bock WJ . Kinetics of the avian skull. J Morphol 1964; 114: 1–42.
Spring LW . Climbing and pecking adaptations in some North American woodpeckers. Condor 1965; 67: 457–488.
Duhaime AC, Alario AJ, Lewander WJ, Schut L, Sutton LN, Seidl TS et al. Head injury in very young children: mechanisms, injury types, and ophthalmologic findings in 100 hospitalized patients younger than 2 years of age. Pediatrics 1992; 90: 179–185.
Acknowledgements
This study was completed with the valuable contributions of research assistants Enza Perruzza and Erica Bell, and ophthalmic imaging specialist Leslie MacKeen. We also gratefully acknowledge Dr Randell Alexander who was the first to our knowledge, to suggest that woodpeckers could serve as a model for protective mechanisms for shaking impact injury.
Author information
Authors and Affiliations
Corresponding author
Additional information
Proprietary interest: none
Rights and permissions
About this article
Cite this article
Wygnanski-Jaffe, T., Murphy, C., Smith, C. et al. Protective ocular mechanisms in woodpeckers. Eye 21, 83–89 (2007). https://doi.org/10.1038/sj.eye.6702163
Received:
Accepted:
Published:
Issue date:
DOI: https://doi.org/10.1038/sj.eye.6702163
Keywords
This article is cited by
-
Biomechanism of resistance to retinal injury in woodpecker’s eyes
Science China Life Sciences (2020)
-
Ophthalmologic Concerns in Abusive Head Trauma
Journal of Family Violence (2016)
-
Energy conversion in woodpecker on successive peckings and its role on anti-shock protection of brain
Science China Technological Sciences (2014)
-
Pathology of retinal hemorrhage in abusive head trauma
Forensic Science, Medicine, and Pathology (2009)
-
Natural animal shaking: a model for non-accidental head injury in children?
Eye (2008)


