News
Expert says Lola’s eye injuries suggest abusive head trauma

LOLA’S eye injuries are indicative of abusive head trauma, the first medical expert to take to the witness stand told Swansea Crown Court on Friday (Mar 10).
Dr Ian Simmons, Consultant paediatric ophthalmologist gave his opinion on the findings in his report into the retina injuries sustained by the toddler.
Dr Simmons has been an expert in the field since 1999 and has contributed to major studies and literature looking into retinal findings in non-abusive head trauma and abusive head trauma.
Including reviewing and contributing to a review into differential retinal injuries in abusive vs non-abusive head traumas in September 2020.
Swansea Crown Court heard how Lola had multiple haemorrhages in both her right and left eye, which also was evident in all four quadrants; during medical examinations, eyes are split into quarters and referred to as quadrants to locate any significant anomaly.
The injuries were detected through a range of diagnostic methods, including visual, 2d scans, retcams (3d) and the findings during the course of a post-mortem.

These included two large macular haemorrhages to the right eye which were present in all four quadrants, along with multiple other haemorrhages, noted there were too numerous to count.
The court heard how Lola’s left eye had a massive dic haemorrages along with others in all four quardants and macular changes due to retinal splitting. There was also bleeding to the oribital and optical nerve in both eyes.
Dr Simmons went on to say how bi-lateral retinal heamoraghes; those affecting both eyes, are highly indicative of an abusive head trauma as opposed to accidental.
He went on to say that injuries of the retina, such as those sustained by Lola are usually present in children who have sustained a very significant crush injury or a fall from a height such as a house window.
The court heard how the presence of macular folds is more prevalent in an abusive head trauma injury by the tenfold.
Dr Simmons confirmed that before compile his expert opinion report he was privy to reports from all medical professionals who treated Lola, including reports and scans, the autopsy report, police statements and photographs of the family home namely the stairs the defence claim Lola fell down.
The court heard that Dr Simmons bore no knowledge of a child presenting with optical nerve sheath haemorrhages in both eyes ever being presented in an accidental head trauma.
The court heard how Dr Simmons had gone through an extensive exclusion procedure and ruled out any underlying diseases, or anything within the statements from the police that would suggest anything other than abusive head trauma would cause the injuries.
Bevan’s Barrister, John Hipkins KC brought to the court’s attention a case study from 2013, by Dr Adams, another paediatric ophthalmologist, in which a child had a fatal fall down 10 steps, with multiple impacts and noted that the injuries received by that child were similar to that of Lola’s.
He explained that this was a witnessed accidental fall and the injuries were received as a result of accidental head trauma.
Dr Simmons went on to clarify that although those injuries bore a ‘striking resemblance’ to this case, that child did not present with peri-macular folding and sheath haemorrhages that Lola did, and those indicate it is more likely in this case as a result of an abusive head trauma.

In his report Dr Simmons said: “With a combination of extensive bilateral retinal bleeding in all four quadrants affecting multiple layers in both eyes with possible retinal splitting along with evidence of left per-macular retinal fold and presence of bilateral optic nerve sheath haemorrhages, that combination pointed towards abusive head trauma rather than an accidental fall down the stairs.
“Highly unlikely the above combination would have been caused by falling down 10 carpeted stairs.”
Dr Simmons suggested that based on the other injuries Lola had and reading the medical reports it points towards abusive head injury from that such as violent shaking with a possible form of impact.
John Hipkin KC, went on to question Dr Simmon on the language used in his report stating it was all based on medical science which meant they were left to deal with “likelihoods instead of certainties”.
Dr Simmons explained that medical science is not definitive, but certain retinal injuries are highly suggestive towards abusive head trauma based on medical evidence from data collection.
Mr Hipkin KC went on to ask if Dr Simmon had been given Bevan’s statement of his account of the accident, which he confirmed was received and had used that evidence to make his conclusion.
Suggesting that shaking could have been part of Bevans attempts to wake the tot.
However Mr Hipkin went on to say that Bevan’s statement was not included on Dr Simmons summary of evidence documents used to support his claims.
Dr Simmons could not recall whether he had simply forgotten to include them or whether they were together with another set of reports in a bundle which is included on the summary of evidence on the report.
James’ Barrister Mr Elias did not cross examine the witness.
The next medical expert witness is due to take the stand on Monday.
The case was adjourned and will continue on Monday, March 13 at 10am.
News
Mum’s plea for Pembrokeshire sanctuary memorial approved

A WEST WALES mother’s poignant call for a permanent Pembrokeshire memorial – and sanctuary – in memory of her late daughter has been backed by county planners.
In an application before Pembrokeshire County Council, Emma Thomas, of Ammanford, sought permission for the extension of a forestry track to enable the planting of woodland along with a memorial pond to her late daughter Mia Haf Sahara Thomas Jones at a field off Brynheulog, near Llangolman.

A personal statement by Emma accompanying the application said: “My name is Emma Thomas, and I am setting up the Mia Sahara Sanctuary in memory of my beautiful daughter, Mia, who tragically and unexpectedly passed away at the young age of 16, on April 19, 2023.
“Mia was a very passionate young lady, and throughout her life enjoyed being in the natural environment absorbing everything it had to offer.
“As Mia’s mother, I must do something positive out of something so, so negative.
“As Mia was to inherit a property on her 18th birthday, as a family, we have decided to purchase land out of the proceeds from the sale. The land is approximately 6.3 acres and lies on the western edge of Llangolman, Pembrokeshire.”
She added: “My aim is to develop the land by placing a wildlife pond to provide a breeding space for frogs, toads, newts and dragonflies as well as a habitat for a host of other creatures from pond skaters to water snails. The pond will be shallow at one end and will provide areas for birds and a watering hole for hedgehogs.”
Emma said produce grown in existing polytunnels “will be given and shared amongst local charities to support the local population and hopefully a local educational establishment with healthy eating seasonal produce”.
Emma went on to say: “I worked within education before Mia’s health deteriorated at numerous educational establishments internationally. I have a learnt understanding of the issues faced by individuals that live within Pembrokeshire as a single parent caring for a child with needs.
“There is a need for support for so many individuals and a lack of funding and resources can have detrimental consequences.
“In December 2022 Mia and I decided to set up a charity and Mia wrote her introduction to the Forum in advance.”
Mia, in her own words, explained her reasons for the charity: “I have struggled throughout my life with various of different things… At the age of just 16, I got an official diagnosis as being Autistic. But that is why we are here to help each other and to thrive with each other with that help/support! I have also struggled with making/maintaining friendships and hopefully with setting up this forum I could make new friends!
“Also make changes for the better. Use this charity for a network of people as a safety net to help and inform each other with information that you and others may need…”.
Emma concluded: “I envisage the Mia Sahara Sanctuary to be a place where nature will flourish with new life. I will meet with representatives from the community and local groups to determine what produce would best support their service users with the aim of working collaboratively for the benefit of the local people.
“Mia is no longer here physically however my love for her fuels me to plan the Mia Sahara Sanctuary and to create something that will benefit future generations within Pembrokeshire, and I have the determination and passion, with your support, to make this a reality.”
The application was conditionally approved by county planners.
News
Tragic outcome after dog falls from Caerfai cliffs

ST DAVIDS RNLI inshore lifeboat was launched at 5:50pm on Easter Monday (April 21) following reports of a dog that had fallen from the cliffs at Caerfai Bay.
The volunteer crew responded swiftly and located the dog in the sea. Sadly, it had died by the time they arrived. The lifeboat crew recovered the animal and brought it ashore, reuniting it with its owners at Caerfai beach, who were supported by HM Coastguard – St Davids.
The inshore lifeboat, Marian and Alan Clayton, returned to station at 7:00pm and was refuelled and ready for service again by 7:10pm.
News
Triathlon returns to Fishguard – road closures announced

FISHGUARD will once again play host to the Wales Triathlon this summer, with hundreds of competitors set to descend on the town for the popular sporting event on Sunday, June 15.
Organised by Activity Wales Events, the triathlon includes a two-lap sea swim in Fishguard Bay, followed by a two-lap cycle from Fishguard to St Davids and a four-lap run along the Marine Walk and out onto the breakwater.
In order to facilitate the bike leg on closed roads, several road closures will be in place throughout the day.

Major road closures
The A487 between Goodwick and Mathry will be closed between 9:45am and 3:00pm.
Between Mathry and Croesgoch, the A487 will be closed from 10:00am to 3:00pm, and from Croesgoch to St Davids the closure will run from 10:00am until 2:45pm.
Crossing points will be in operation at Mathry crossroads, Croesgoch crossroads, and the Llangoffan to Granston junction. Diversions will be signposted, with local traffic routed via minor B roads and through Haverfordwest for longer journeys.
Town centre impact
In Fishguard, West Street will be closed between 12:00pm and 6:00pm for the running stage. Residents will still be able to exit side roads, with diversions clearly marked.
Goodwick residents will be able to exit the town via the Tesco roundabout, which will remain open all day.
Care access and course passes
Care workers will be allowed access to visit clients within the closed sections, but must obtain a course pass via their organisation in advance.
On the day, carers using the route must:
- Follow the direction of the race
- Display their pass clearly
- Keep hazard lights on at all times
- Exit the route as soon as safely possible
Further information
The event attracted over 1,000 athletes last year, and organisers anticipate another strong turnout.
More information can be found at: www.walestriathlon.com/athletes/event-info
Road closure details are available at: community.walestriathlon.com
For course pass enquiries, contact: info@activitywalesevents.com
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