Posters

Digital eye fundus triage neonates program: going beyond the red reflex examination

Poster Details

First Author: N.Douat Dietrich BRAZIL

Co Author(s):                        

Abstract Details

Purpose:

The aim of this study was to highlight the importance of the eye imaging for all healthy newborns, as most children otherwise do not undergo formal eye examination until just before entering kindergarten.

Setting:

Thirty-four neonates were examined at the Darcy Vargas Maternity Hospital in Joinville, SC Brazil from October 2016 through March 2017.

Methods:

Pictor Plus portable ophthalmic camera, model VP2RET manufactured by Volk (Volk Optical, Inc., Mentor, OH) was utilized. In order to reduce discomfort during examination, a 25% oral glucose solution was administered (12) . As the neonates in this study had been previously screened with indirect ophthalmoscopy for peripheral retina examination, their pupils were previously dilated (tropicamide 0.5%, phenylephrine 2.5%).However, for imaging examination with Pictor Plus, pupil dilation is not required.

Results:

All newborns evaluated had normal red reflex test. Nineteen neonates (55.9%) presented with normal results and fifteen (44.1%) neonates presented with unilateral or bilateral abnormalities. Hemorrhage, retinopathy of prematurity (ROP) and toxoplasmosis had a prevalence of 13.3% each. 26.7% presented syphilis alterations and 33.3% optic disc variations.

Conclusions:

Performing early intervention increases the chances of management, vision rehabilitation and cure. The Digital Eye Fundus Triage Neonates Program may cause true impact on improving not only ocular but overall health in neonates.

Financial Disclosure:

None