J Korean Ophthalmol Soc.  2015 Oct;56(10):1617-1623. 10.3341/jkos.2015.56.10.1617.

Findings of Eye Screening Examinations with Wide-Field Digital Imaging System in Healthy Newborns

• Park SY
• Kim SY

• KMID: 2214424
• DOI: http://doi.org/10.3341/jkos.2015.56.10.1617

Abstract

PURPOSE
To present the results of eye screening examinations using RetCam in healthy newborns.
METHODS
Eye screening examinations were performed using the RetCam wide-field digital imaging system (Clarity Medical System, Pleasanton, CA, USA), as requested by parents, on healthy newborns within a week after birth in an obstetrics and gynecology hospital between June 2012 and September 2014. During the examination, photographs were taken showing red reflex and the fundus. The reading was conducted by a pediatric ophthalmologist.
RESULTS
The examinations included a total of 10,023 newborn babies, and abnormalities were discovered in 2,916 patients (29.09%). The most commonly found abnormality was retinal hemorrhage, which was discovered in 2,796 babies (27.89%) and 471 patients showed a large amount of bleeding or macular hemorrhage. In 71 patients (0.7%), ophthalmologic examination was recommended after newborns presented with one of the following conditions: congenital cataracts, retinoblastoma, persistent hyperplastic primary vitreous, vitreous hemorrhaging, persistent pupillary membrane, choroidal nevus or albinism. Due to unclear photographs, 85 eyes of 49 patients (0.48%) could not be read.
CONCLUSIONS
Ophthalmologic screening using RetCam is a safe, simple and useful technique for discovering ophthalmologic abnormalities. Additionally, when abnormalities are suspected, the role of a pediatric ophthalmologist is increasingly important in helping patients receive appropriate ophthalmologic treatment. Furthermore, retinal hemorrhage, which occurred in the majority of all observed abnormalities, requires further investigation to examine the possibilities of amblyopia in cases with a large amount of bleeding or macula involvement.

Keyword

Newborn; RetCam; Retinal hemorrhage; Screening examination

MeSH Terms

Albinism
Amblyopia
Cataract
Choroid
Gynecology
Hemorrhage
Humans
Infant, Newborn*
Mass Screening*
Membranes
Nevus
Obstetrics
Parents
Parturition
Persistent Hyperplastic Primary Vitreous
Reflex
Retinal Hemorrhage
Retinoblastoma

Figure

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  Figure 1. Retinal hemorrhages found on a newborn digital eye examination. (A) Submacular hemorrhage (white arrow). (B) Multiple retinal hemorrhages (black arrows) around the optic disc. (C) Severe retinal hemorrhages. (D) Severe retinal hemorrhages with vitreous hemorrhage.

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  Figure 2. Other retinal findings found on newborn digital eye examination. (A) Choroidal nevus (white arrow). (B) Albinism. (C) Persistent hyperplastic primary vitreous. (D) Coloboma (black arrowheads). (E) Macular and subretinal hemorrhage (white arrows) with abnormal retinal venous beading toward the macular (white arrowheads). (F) Retinoblastima (white arrow).

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  Figure 3. Abnormal findings in anterior segment examination. (A) Congenital cataract. (B) Persistent pupillary membrane.

Reference

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