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So Young Kim; Findings of Universal Newborn eye screening examination in South Korea – The results of five years.. Invest. Ophthalmol. Vis. Sci. 2018;59(9):188.
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© ARVO (1962-2015); The Authors (2016-present)
To present the findings of a healthy full-term newborn eye screening examination with wide retinal imaging system in South Korea
We analyzed fundus photos from RetCam® wide-field digital imaging system images (Natus Medical Incorporated, Pleasanton, California, USA) of 55,901 full-term infants within 30 days of birth. The external eye and red reflex were also examined.
The examination took place on a total of 55,901 newborns. There was detection of 14,933 abnormal cases (26.72%). The abnormality most commonly found was retinal hemorrhage, which was discovered in 14,668 (26.24%). There were 3,514(24.14%) of significant hemorrhage or macular hemorrhage. The other 265 cases (0.48%) with abnormal ocular findings included congenital cataract, retinoblastoma, persistent hyperplastic primary vitreous, persistent pupillary membrane, choroidal nevus, albinism, optic nerve hypoplasia, enlarged C/D ratio, and congenital microphthalmos.
Ocular examination of healthy newborns leads to the detection of a significant number of abnormalities. The most commonly discovered abnormality during examination was retinal hemorrhage, requires additional studies on the possibilities of amblyopia, especially when the amount of bleeding is large or macula is invaded. Some neonatal eye disease is time sensitive, such as retinoblastoma, early detection and prompt treatment is important to avoid lifelong visual impairment. RetCam® is a simple and useful tool for the neonatal fundal examination.
This is an abstract that was submitted for the 2018 ARVO Annual Meeting, held in Honolulu, Hawaii, April 29 - May 3, 2018.
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