Prospective observational study of universal newborn eye screening in a hospital and community setting in New Zealand

BMJ Paediatrics Open
Samantha Kaye SimkinShuan Dai

Abstract

Early detection of ocular abnormalities in newborn infants is essential for timely diagnosis and treatment. This study aimed to assess wide-field digital imaging for universal newborn eye screening (UNES) to determine the prevalence of ocular abnormalities, including retinal haemorrhages, in newborn infants in New Zealand. Prospective ocular screening study of infants. A public hospital maternity ward and a community birth centre in Auckland, New Zealand. A total of 350 infants were enrolled in UNES, those with birth weight <1250 g or gestational age <30 weeks were excluded. Wide-field digital images of the external eye and retina were captured by RetCam (Natus Medical, San Carlos, California, USA) and reviewed by an ophthalmologist via an established telemedicine methodology. Detection of ocular abnormalities, including retinal haemorrhages. Correlation between haemorrhages and maternal, obstetric and neonatal factors. A total of 346 infants completed screening (median age 2 days). Retinal haemorrhages were present in 50 cases (14.5%), two cases exhibited persistent retinal haemorrhages at 6-week follow-up. A significant increase in the odds of retinal haemorrhages was present for vaginal delivery compared with caesarean secti...Continue Reading

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Citations

Aug 20, 2020·Graefe's Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Für Klinische Und Experimentelle Ophthalmologie·Adir C Sommer, Eytan Z Blumenthal
Jul 4, 2020·Graefe's Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Für Klinische Und Experimentelle Ophthalmologie·Veronica E Tamez-Tamez, Raul E Ruiz-Lozano
Mar 16, 2021·European Journal of Ophthalmology·Ratnesh RanjanNarendran Venkatapathy
Mar 23, 2021·BMC Ophthalmology·Kenneth Teow Kheng LeongJamalia Rahmat
Apr 2, 2021·Asia-Pacific Journal of Ophthalmology·Vijitha S Vempuluru, Swathi Kaliki
Dec 16, 2021·Ophthalmic Surgery, Lasers & Imaging Retina·Amee D AzadDarius M Moshfeghi
Dec 16, 2021·Ophthalmic Surgery, Lasers & Imaging Retina·Jochen Kumm

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