Newborn With an Absent Red Reflex

Tuli, Sanjeev Y.; Giordano, Beverly P.; Kelly, Maria N.; Fillipps, Donald; Tuli, Sonal S.

doi:10.1016/j.pedhc.2011.10.010

Cited by 6 publications

(8 citation statements)

References 16 publications

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“… 3 , 4 , 10 , 11 Several eye conditions can cause white pupil as a first sign, such as congenital cataract, retinoblastoma, retinopathy of prematurity, nematode endophthalmitis, persistent hyperplastic primary vitreous, Coats’ disease, ocular toxocariasis, retinal hamartomas, severe refractive error, organized vitreous hemorrhage, ocular albinism, myelinated fibers, and the presenting sign of abusive head trauma. 2 – 4 , 11 A white pupil is often noticed by parents or relatives on flash photography, this is the first reason for consultation, as in our patient, where a consistent leukocoria appeared in the right eye, similar to a cat’s eye reflection. The presence of an apparent leukocoria in a normal eye in a photograph taken from a temporal side has been reported previously.…”

Section: Discussionsupporting

confidence: 60%

“… 1 The majority of these conditions are significant for visual impairment and other conditions, as retinoblastoma can be life-threatening. 2 – 5 Leukocoria, which requires urgent evaluation by an ophthalmologist, represents a great challenge in ophthalmology. 4 , 6 Leukocoria can be detectable through simple flash photography 7 , 8 and the popularization of smartphone cameras enables parents to look for early diagnosis, seeing a white eye instead of the typical red eye in photographs, a phenomenon known as photoleukocoria.…”

Section: Introductionmentioning

confidence: 99%

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Photoleukocoria with smartphone photographs

Asensio-Sánchez¹,

Díaz-Cabanas²,

Martín-Prieto³

2018

IMCRJ

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A 3-year-old boy was referred with suspected leukocoria in the right eye, detected in all smartphone photographs taken by his parents. His medical and family history was unremarkable. The visual acuity was 20/20 in both eyes. Eye examination revealed full motility and normal pupils. The ocular fundi and ultrasonography appeared normal. The child was looking to the left side in his photographs, away from the camera, and illuminating the nasal retina. In this circumstance, the optic nerve head acts as a diffuse reflector, reflecting the light out of the eye through the pupil. In the case of normal clinical findings in a child presenting leukocoria in smartphone photographs (photoleukocoria), the ophthalmologist should suspect the possibility of the described phenomenon avoiding other studies.

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Section: Discussionsupporting

confidence: 60%

Section: Introductionmentioning

confidence: 99%

Photoleukocoria with smartphone photographs

Asensio-Sánchez¹,

Díaz-Cabanas²,

Martín-Prieto³

2018

IMCRJ

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“…Ultrasonography, funduscopy, fluorescein angiography, MRI and CT-scan can be used to confirm the diagnosis [10]. Tuli SY et al [11] reported that Treatment depends on the size of the tumor and its laterality, systemic status and metastasis of the tumor [11].…”

Section: Discussionmentioning

confidence: 99%

Frequency of Common Factors Leading to Leukocoria in Pediatric Age Group at Tertiary Care Eye Hospital: An Observational Study

Fahim¹

2018

BBOAJ

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“…As part of the ocular examination, the importance of this test is the early detection of leukocoria, a clinical sign frequently present in ocular conditions such as congenital cataract, retinoblastoma, vitreous diseases; which differs from the normal ocular reflex, because it is not possible to observe the reflex or its quality is poor, whitish. 16 It is important to investigate the red reflex in newborns and its relationship with factors of maternal and neonatal history. There are several risk factors for these visual changes in newborns, such as maternal history of infectious diseases during pregnancy, such as toxoplasmosis, rubella, and cytomegalovirus, and conditions of prematurity and low birth weight, as well as severe hypoxia.…”

Section: Englishmentioning

confidence: 99%

Resultado do teste reflexo vermelho em recém-nascidos

Rodrigues

Cardoso

Aguiar³

et al. 2018

Rev enferm UFPE on line.

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RESUMOObjetivo: avaliar o resultado do teste reflexo vermelho em recém-nascidos. Método: estudo quantitativo, exploratório, com amostra de 32 recém-nascidos atendidos na consulta de enfermagem em puericultura na Estratégia Saúde da Família. Usou-se oftalmoscópio direto e gradiente de cores para realizar e classificar o resultado do teste. Análise dos dados e apresentação mediante construção de frequências absoluta e relativa. Resultados: dos 32 recém-nascidos, 94% (30) apresentaram reflexo vermelho normal e 6% (2) suspeitos. O gradiente indicou reflexo ocular na cor vermelha (R01-R05) em 53% (17) dos recém-nascidos no olho direito e 59,3% (19) no esquerdo; vermelho-alaranjado (L01-L05), sendo 40,6% (13) no olho direito e 34,3% (11) no esquerdo. Os recém-nascidos cujo reflexo ocular foi considerado suspeito foram encaminhados para oftalmologista. Conclusão: a identificação precoce dos casos de reflexo vermelho alterado reforçou a relevância da atuação do enfermeiro na prevenção da cegueira infantil cujo impacto é significativo na qualidade de vida das crianças. Descritores: Recém-Nascido; Atenção Primária à Saúde; Cuidado da Criança; Enfermagem Neonatal; Saúde Ocular; Prevenção de Doenças.ABSTRACT Objective: to evaluate the results of the red reflex test in newborns. Method: this is a quantitative, exploratory study with a sample of 32 newborns attended at the nursing consultation in childcare in the Family Health Strategy. Direct ophthalmoscope and color gradient were used to perform and classify the test result. Data analysis and presentation was through absolute and relative frequency construction. Results: of the 32 newborns, 94% (30) presented normal red reflex and 6% (2) were suspected to have it. The gradient indicated red eye (R01-R05) in 53% (17) of newborns in the right eye and 59.3% (19) in the left eye; (L01-L05), being 40.6% (13) in the right eye and 34.3% (11) in the left eye. Newborns whose ocular reflex was considered suspect were referred to an ophthalmologist. Conclusion: early identification of altered red reflex cases reinforced the relevance of nurses´ actions in the prevention of childhood blindness, whose impact is significant in children´s quality of life. Descriptors: Newborn; Primary Health Care; Child Care; Neonatal Nursing; Eye health; Disease Prevention.RESUMEN Objetivo: evaluar el resultado do test reflejo rojo en recién nacidos. Método: estudio cuantitativo, exploratorio, co una muestra de 32 recién nacidos atendidos en la consulta de enfermería en puericultura en la Estrategia Salud de la Familia. Se usoó oftalmoscópio derecho y gradiente de colores para realizar y clasificar el resultado del test. Análisis de los datos y presentación mediante construcción de frecuencias absoluta y relativa. Resultados: de los 32 recién nacidos, 94% (30) presentaron reflejo rojo normal y 6% (2) tuvieron sospechas. El gradiente indicó reflejo ocular en el color rojo (R01-R05) en 53% (17) de los recién nacidos en el ojo derecho y 59,3% (19) en el izquierdo; rojo anaranjado (L01-L05), siendo 40,6% (13) en el ojo derecho y 34,3% (11) en el izquierdo. Los recién nacidos cuyo reflejo ocular fue considerado sosspecho fueron enviados para oftalmólogo. Conclusión: la identificación precoz de los casos de reflejo rojo alterado reforzó la relevancia de la actuación del enfermero en la prevención de la ceguera infantil, cuyo impacto es significativo en la calidad de vida de los niños. Descriptores: Recién Nacido; Atención Primaria de Salud; Cuidado del Niño; Enfermería Neonatal; Salud Ocular; Prevención de Enfermedades.

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Newborn With an Absent Red Reflex

Cited by 6 publications

References 16 publications

Photoleukocoria with smartphone photographs

Photoleukocoria with smartphone photographs

Frequency of Common Factors Leading to Leukocoria in Pediatric Age Group at Tertiary Care Eye Hospital: An Observational Study

Resultado do teste reflexo vermelho em recém-nascidos

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