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Neonatal eye screening for 203 healthy term new-borns using a wide-field digital retinal imaging system
BACKGROUND: The current practice for new-born eye examination by an Ophthalmologist in Malaysian hospitals is limited to only preterm new-borns, syndromic or ill infants. Healthy term new-borns are usually discharged without a thorough eye examination. This study is aimed at determining the proporti...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7941744/ https://www.ncbi.nlm.nih.gov/pubmed/33750348 http://dx.doi.org/10.1186/s12886-021-01882-x |
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author | Teow Kheng Leong, Kenneth Abu Kassim, Siti Nur Amira Sidhu, Jasvinjeet Kaur Zohari, Zayani Sivalingam, Thivakar Ramasamy, Sunder Mohd Khialdin, Safinaz Mohd Nordin, Noraihan Rahmat, Jamalia |
author_facet | Teow Kheng Leong, Kenneth Abu Kassim, Siti Nur Amira Sidhu, Jasvinjeet Kaur Zohari, Zayani Sivalingam, Thivakar Ramasamy, Sunder Mohd Khialdin, Safinaz Mohd Nordin, Noraihan Rahmat, Jamalia |
author_sort | Teow Kheng Leong, Kenneth |
collection | PubMed |
description | BACKGROUND: The current practice for new-born eye examination by an Ophthalmologist in Malaysian hospitals is limited to only preterm new-borns, syndromic or ill infants. Healthy term new-borns are usually discharged without a thorough eye examination. This study is aimed at determining the proportion and types of ocular abnormalities detected in purportedly healthy term new-borns. METHOD: This cross-sectional study is comprised of 203 participants, all purportedly healthy term new-born infants from the Obstetrics and Gynaecology ward at Hospital Kuala Lumpur over a 6 months period. The examination list includes external eye examination, red reflex test, and fundus imaging using a wide-field digital retinal imaging system (Phoenix Clinical ICON Paediatric Retinal Camera) by a trained Investigator. The pathologies detected were documented. The results were compared and correlated with similar studies published in the literature previously. RESULTS: Total ocular abnormalities were detected in 34% of the infants. The most common finding was retinal haemorrhage in 29.6% of the infants, of which 53.3% occurred bilaterally. Spontaneous vaginal delivery (SVD) remained the greatest risk factor which has nearly 3.5 times higher risk of new-borns developing retinal haemorrhage compared to Lower Segment Caesarean Section (LSCS). There was a 6% increased likelihood of developing retinal haemorrhage for every 1-min increment in the duration of 2nd stage of labour. CONCLUSION: Universal eye screening for all new-borns using a wide-field digital imaging system is realistically possible, safe, and useful in detecting posterior segment disorders. The most common abnormality detected is retinal haemorrhage. |
format | Online Article Text |
id | pubmed-7941744 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-79417442021-03-09 Neonatal eye screening for 203 healthy term new-borns using a wide-field digital retinal imaging system Teow Kheng Leong, Kenneth Abu Kassim, Siti Nur Amira Sidhu, Jasvinjeet Kaur Zohari, Zayani Sivalingam, Thivakar Ramasamy, Sunder Mohd Khialdin, Safinaz Mohd Nordin, Noraihan Rahmat, Jamalia BMC Ophthalmol Research Article BACKGROUND: The current practice for new-born eye examination by an Ophthalmologist in Malaysian hospitals is limited to only preterm new-borns, syndromic or ill infants. Healthy term new-borns are usually discharged without a thorough eye examination. This study is aimed at determining the proportion and types of ocular abnormalities detected in purportedly healthy term new-borns. METHOD: This cross-sectional study is comprised of 203 participants, all purportedly healthy term new-born infants from the Obstetrics and Gynaecology ward at Hospital Kuala Lumpur over a 6 months period. The examination list includes external eye examination, red reflex test, and fundus imaging using a wide-field digital retinal imaging system (Phoenix Clinical ICON Paediatric Retinal Camera) by a trained Investigator. The pathologies detected were documented. The results were compared and correlated with similar studies published in the literature previously. RESULTS: Total ocular abnormalities were detected in 34% of the infants. The most common finding was retinal haemorrhage in 29.6% of the infants, of which 53.3% occurred bilaterally. Spontaneous vaginal delivery (SVD) remained the greatest risk factor which has nearly 3.5 times higher risk of new-borns developing retinal haemorrhage compared to Lower Segment Caesarean Section (LSCS). There was a 6% increased likelihood of developing retinal haemorrhage for every 1-min increment in the duration of 2nd stage of labour. CONCLUSION: Universal eye screening for all new-borns using a wide-field digital imaging system is realistically possible, safe, and useful in detecting posterior segment disorders. The most common abnormality detected is retinal haemorrhage. BioMed Central 2021-03-09 /pmc/articles/PMC7941744/ /pubmed/33750348 http://dx.doi.org/10.1186/s12886-021-01882-x Text en © The Author(s) 2021 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Article Teow Kheng Leong, Kenneth Abu Kassim, Siti Nur Amira Sidhu, Jasvinjeet Kaur Zohari, Zayani Sivalingam, Thivakar Ramasamy, Sunder Mohd Khialdin, Safinaz Mohd Nordin, Noraihan Rahmat, Jamalia Neonatal eye screening for 203 healthy term new-borns using a wide-field digital retinal imaging system |
title | Neonatal eye screening for 203 healthy term new-borns using a wide-field digital retinal imaging system |
title_full | Neonatal eye screening for 203 healthy term new-borns using a wide-field digital retinal imaging system |
title_fullStr | Neonatal eye screening for 203 healthy term new-borns using a wide-field digital retinal imaging system |
title_full_unstemmed | Neonatal eye screening for 203 healthy term new-borns using a wide-field digital retinal imaging system |
title_short | Neonatal eye screening for 203 healthy term new-borns using a wide-field digital retinal imaging system |
title_sort | neonatal eye screening for 203 healthy term new-borns using a wide-field digital retinal imaging system |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7941744/ https://www.ncbi.nlm.nih.gov/pubmed/33750348 http://dx.doi.org/10.1186/s12886-021-01882-x |
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