Retinal Screening in Pediatric Patients

Abstract

 

Purpose:

 

Retinal screening has proven effective in reducing or preventingvisual loss from sight-threatening posterior segment eye disease.Diagnostically conclusive retinal imaging relies to a considerableextent upon the adequate positioning of the patient. It is desirableto detect posterior segment pathologies at an early stage oflife. The objective is to photograph anatomic structures ofthe posterior eye segment with enough detail to make diagnosticdecisions.

 

Methods:

 

A total of 528 children were examined. Three different non-mydriaticfundus cameras (Nidek, HRC, Eyescan) were compared with regardto their practicality and reliability of image analysis.

 

Results:

 

The duration of examination per subject ranged from 3.8 minutesto 7.5 minutes. Hand-held devices were unexpectedly hard tohandle, so these measurements were discontinued. A chin restwas used where possible.

 

Conclusions:

 

In pediatric patients, fast image acquisition is often necessary.Therefore, non-mydriatic measurements proved to be suitablefor children. The non-flash camera was tolerated better in general.To optimize adequate patient positioning, support elements asin self- tonometry are conceivable.  

 

 

 

Keywords: retina • imaging/image analysis: clinical • retinal development