The analysis of posterior segment findings in term and premature infants using RetCam images

Gürsoy, Hüseyin; Bilgeç, Mustafa Değer; Erol, Nazmiye; Başmak, Hikmet; Çolak, Ertuğrul

doi:10.1007/s10792-017-0670-8

Cited by 8 publications

(4 citation statements)

References 31 publications

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“…Although the most common reason is birth trauma; it has other rare but important causes such as ROP, coagulopathy, systemic diseases and shaken baby syndrome. 11 In our study population, most of which were delivered by a cesarean section, the most common cause of retinal hemorrhage was ROP. In accordance with the literature, the most common location was peripheral retina, as expected in retinal hemorrhage associated with a ridge lesion seen in ROP disease.…”

Section: Discussionmentioning

confidence: 80%

“…Reported prevalence of ocular abnormalities varied between 7.6% and 22.6% in these studies. [10][11][12] Although telemedicine is popular and widespread today, it is still not available in every institution where ROP screening is performed. Also, we believe that ROP screening should be comprehensive with a detailed anterior segment examination.…”

Section: Discussionmentioning

confidence: 99%

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Accidentally diagnosed ocular abnormalities identified during close screening for retinopathy of prematurity

Öztürk

Engin²,

Yiğitaslan

et al. 2022

European Journal of Ophthalmology

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Purpose To report the variety of ocular findings which have been identified serendipitously during the screening for retinopathy of prematurity (ROP) in a tertiary referral center during seven-year period. Methods The charts of 1568 preterm infants who screened for ROP were reviewed retrospectively. Any ocular lesion except for ROP were noted. All infants had undergone routine ocular examination of the external eye, pupillary light reflex, anterior and posterior segment. Wide-angle digital retinal image acquisition system for any vitreoretinal pathology requiring a close follow-up had been utilized. Results Abnormal ocular findings other than ROP were diagnosed in 296 infants (19.2%). Tunica vasculosa lentis was the most common finding (25%) followed by vitreous or retinal hemorrhages (17.2%) and retinal white lesions (16.6%). Retina was the most frequently involved anatomic site. Other frequent ocular findings included optic disc cupping, congenital cataract, optic nerve hypoplasia, choroidal nevus, persistent fetal vasculature, lid hemangioma, and tilted disc. However, life-threatening pathologies such as lipemia retinalis and even retinoblastoma were also diagnosed. Conclusion A duly ophthalmologic examination is mandatory in premature infants for ROP screening. During such examinations, ophthalmologists must be aware of coexisting ocular findings; which could be sight-threatening or even life-threatening.

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Section: Discussionmentioning

confidence: 80%

Section: Discussionmentioning

confidence: 99%

Accidentally diagnosed ocular abnormalities identified during close screening for retinopathy of prematurity

Öztürk

Engin²,

Yiğitaslan

et al. 2022

European Journal of Ophthalmology

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“…Some recover by one month (18). Only a few of those cases required intervention (12). Retinal haemorrhages rarely persist beyond six weeks, except in isolated cases, up to 58 days (16).…”

Section: Discussionmentioning

confidence: 99%

Neonatal Eye Screening for 203 Healthy Term Newborns Using a Wide-Field Digital Retinal Imaging System

Leong

Kassim

Sidhu

et al. 2020

Preprint

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Purpose: This study aimed to determine the proportion and types of ocular abnormalities detected in healthy term newborns and also the risk factors associated with retinal haemorrhages.Method: This cross-sectional study comprised of 203 participants, all healthy term newborn infants in the Obstetrics and Gynaecology ward at Hospital Kuala Lumpur over a six 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 with similar studies previously published in the literature.Results: Total ocular abnormalities were detected in 34% infants. The most common finding was retinal haemorrhage in 29.6% 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 newborns developing retinal haemorrhage compared to Lower Segment Caesarean Section (LSCS). There was a 6% increased likelihood of developing retinal haemorrhage for every 1 minute increment in the duration of 2nd stage of labour. Conclusion: Universal eye screening for all newborns using a wide-field digital imaging system is possible, safe and useful in detecting posterior segment disorders. The most common abnormality detected is retinal haemorrhage. Although most resolve spontaneously, a longitudinal study is needed to study the long term effect of retinal haemorrhages in these infants.

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“…Some recover by one month (17). Only a few of those cases required intervention (11). Retinal haemorrhages rarely persist beyond six weeks, except in isolated cases, up to 58 days (15).…”

Section: Discussionmentioning

confidence: 99%

Neonatal eye screening for 203 healthy term newborns using a wide-field digital retinal imaging system

Leong

Kassim

Sidhu

et al. 2019

Preprint

View full text Add to dashboard Cite

Purpose This study aimed to determine the proportion and types of ocular abnormalities detected in healthy term newborns and also the risk factors associated with retinal haemorrhages. Method This cross-sectional study comprised of 203 participants, all healthy term newborn infants in the Obstetrics and Gynaecology ward at Hospital Kuala Lumpur over a six 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 with similar studies previously published in the literature. Results Total ocular abnormalities were detected in 34% infants. The most common finding was retinal haemorrhage in 29.6% infants, of which 53.3% occurred bilaterally. Spontaneous vaginal delivery (SVD) remained the greatest risk factor which has nearly four times higher risk of newborns developing retinal haemorrhage compared to Lower Segment Caesarean Section (LSCS). There was a 6% increased likelihood of developing retinal haemorrhage for every 1 minute increment in the duration of 2nd stage of labour. Newborns delivered via SVD with episiotomy had 2.5 higher odds of developing retinal haemorrhage in newborns compared to SVD without episiotomy. Conclusion Universal eye screening for all newborns using a wide-field digital imaging system is possible, safe and useful in detecting posterior segment disorders. The most common abnormality detected is retinal haemorrhage. Although most resolve spontaneously, a longitudinal study is needed to study the long term effect of retinal haemorrhages in these infants.

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The analysis of posterior segment findings in term and premature infants using RetCam images

Abstract: A considerable number of infants suffered from posterior segment disorders other than ROP. The majority of these infants were term babies. Routine fundus screening may be recommended in all newborns to diagnose all posterior segment pathologies other than ROP.

Cited by 8 publications

References 31 publications

Accidentally diagnosed ocular abnormalities identified during close screening for retinopathy of prematurity

Accidentally diagnosed ocular abnormalities identified during close screening for retinopathy of prematurity

Neonatal Eye Screening for 203 Healthy Term Newborns Using a Wide-Field Digital Retinal Imaging System

Neonatal eye screening for 203 healthy term newborns using a wide-field digital retinal imaging system

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