Full-Term Neonatal Ophthalmic Screening in China: A Review of 4-Year Outcomes

被引:17
作者
Li, Li-Hong [1 ]
Wu, Wei-Chi [2 ,3 ]
Li, Na [1 ]
Lu, Jun [1 ]
Zhang, Guo-Ming [4 ]
Zhao, Jun-Yang [5 ]
Ma, Yan [6 ]
机构
[1] Kunming Matern & Child Care Hosp, Dept Ophthalmol, 5 Huashan West Rd, Kunming 650031, Yunnan, Peoples R China
[2] Chang Gung Mem Hosp, Dept Ophthalmol, Taoyuan, Taiwan
[3] Chang Gung Univ, Coll Med, Dept Med, Taoyuan, Taiwan
[4] Jinan Univ, Shenzhen Eye Hosp, Shenzhen, Peoples R China
[5] Capital Med Univ, Beijing Childrens Hosp, Dept Ophthalmol, Beijing, Peoples R China
[6] Capital Univ Med Sci, Beijing Tongren Ophthalm Ctr, Dept Ophthalmol, Beijing, Peoples R China
关键词
PREMATURITY; RETINOPATHY; MICROPHTHALMIA; TELEMEDICINE; DIAGNOSIS; AMBLYOPIA; NEWBORNS;
D O I
10.3928/23258160-20171130-05
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
BACKGROUND AND OBJECTIVE: To report the 4-year outcomes of a neonatal ophthalmic screening program in the Kunming Maternity and Child Care Hospital of Kunming City, Kunming, China. PATIENTS AND METHODS: This was a retrospective, observational case series study. Newborns who underwent neonatal eye screening using the RetCam system (Clarity Medical Systems, Pleasanton, CA) at the authors' hospital from March 2010 to February 2014 were included. RESULTS: Of the 15,284 full-term infants who participated in the program, 21% (3,171 of 15,284) had some ocular abnormalities. Among these abnormalities, retinal hemorrhage was the most frequent finding, accounting for 19% (2,899 of 15,284) of all cases. Other anomalies were found in 2% (272 of 15,284) of the cases. No major ocular or systemic complications were found to be associated with the screening process. CONCLUSION: Overall, 21% of the newborns who underwent the eye screening program were found to have an abnormality. The use of the RetCam for the screening program was both efficient and safe in identifying ocular anomalies.
引用
收藏
页码:983 / 992
页数:10
相关论文
共 18 条
[1]   Red Reflex Examination in Neonates, Infants, and Children [J].
Arnoldi K.A. ;
Buckley E.J. ;
Ellis G.S. ;
Glaser S. ;
Granet D. ;
Kivlin J.D. ;
Lueder G.T. ;
Ruben J.B. ;
Wheeler M.B. ;
Lichtenstein S.J. ;
Morse C.L. ;
Repka M.X. ;
Niccole Alexander S. .
PEDIATRICS, 2008, 122 (06) :1401-1404
[2]  
[Anonymous], 1992, Control Clin Trials, V13, P22
[3]   The genetics of anophthalmia and microphthalmia [J].
Bardakjian, Tanya M. ;
Schneider, Adele .
CURRENT OPINION IN OPHTHALMOLOGY, 2011, 22 (05) :309-313
[4]   Retinal and Optic Nerve Hemorrhages in the Newborn Infant [J].
Callaway, Natalia F. ;
Ludwig, Cassie A. ;
Blumenkranz, Mark S. ;
Jones, Jennifer Michelle ;
Fredrick, Douglas R. ;
Moshfeghi, Darius M. .
OPHTHALMOLOGY, 2016, 123 (05) :1043-1052
[5]   Incidence and rate of disappearance of retinal hemorrhage in newborns [J].
Emerson, MV ;
Pieramici, DJ ;
Stoessel, KM ;
Berreen, JP ;
Gariano, RF .
OPHTHALMOLOGY, 2001, 108 (01) :36-39
[6]  
Eventov-Friedman S, 2010, ISR MED ASSOC J, V12, P259
[7]   Stanford University Network for Diagnosis of Retinopathy of Prematurity (SUNDROP): Five Years of Screening With Telemedicine [J].
Fijalkowski, Natalia ;
Zheng, Luo Luo ;
Henderson, Michael T. ;
Wang, Sean K. ;
Wallenstein, Matthew B. ;
Leng, Theodore ;
Moshfeghi, Darius M. .
OPHTHALMIC SURGERY LASERS & IMAGING RETINA, 2014, 45 (02) :106-113
[8]   Findings of perinatal ocular examination performed on 3573, healthy full-term newborns [J].
Li, Li-Hong ;
Li, Na ;
Zhao, Jun-Yang ;
Fei, Ping ;
Zhang, Guo-ming ;
Mao, Jian-bo ;
Rychwalski, Paul J. .
BRITISH JOURNAL OF OPHTHALMOLOGY, 2013, 97 (05) :588-591
[9]   Newborn screening in Zhejiang, China [J].
Maitusong, Riziwanguli ;
Japaer, Rukeya ;
Zhao Zheng-yan ;
Yang Ru-lai ;
Huang Xiao-lei ;
Mao Hua-qing .
CHINESE MEDICAL JOURNAL, 2012, 125 (04) :702-704
[10]   Newborn hearing screening: The great omission [J].
Mehl, AL ;
Thomson, V .
PEDIATRICS, 1998, 101 (01) :E4