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Retinal hemorrhage means bleeding onto the surface of the retina (visual receptor of the eye) caused by rupture of the tiny blood vessels that lie on the surface of the retina. Retinal hemorrhage indicates increased pressure within the skull. This may result from head trauma and bleeding, whether accidental or intentional (child abuse). It was once believed to be pathognomonic of so-called shaken baby syndrome, but this is no longer thought to be true by the forensic pathology community.