Kenneth Teow Kheng Leong1,2, Siti Nur Amira Abu Kassim3, Jasvinjeet Kaur Sidhu3, Zayani Zohari3, Thivakar Sivalingam3, Sunder Ramasamy3, Safinaz Mohd Khialdin4, Noraihan Mohd Nordin5, Jamalia Rahmat3. 1. Department of Ophthalmology, Universiti Kebangsaan Malaysia Medical Centre, Jalan Yaacob Latif, Bandar Tun Razak, 56000, Cheras, Kuala Lumpur, Malaysia. kennethteow@yahoo.com. 2. Department of Ophthalmology, Hospital Kuala Lumpur, 50586, Jalan Pahang, Kuala Lumpur, Malaysia. kennethteow@yahoo.com. 3. Department of Ophthalmology, Hospital Kuala Lumpur, 50586, Jalan Pahang, Kuala Lumpur, Malaysia. 4. Department of Ophthalmology, Universiti Kebangsaan Malaysia Medical Centre, Jalan Yaacob Latif, Bandar Tun Razak, 56000, Cheras, Kuala Lumpur, Malaysia. 5. Department of Obstetrics & Gynaecology, Hospital Kuala Lumpur, 50586, Jalan Pahang, Kuala Lumpur, Malaysia.
Abstract
BACKGROUND: The current practice for new-born eye examination by an Ophthalmologist in Malaysian hospitals is limited to only preterm new-borns, syndromic or ill infants. Healthy term new-borns are usually discharged without a thorough eye examination. This study is aimed at determining the proportion and types of ocular abnormalities detected in purportedly healthy term new-borns. METHOD: This cross-sectional study is comprised of 203 participants, all purportedly healthy term new-born infants from the Obstetrics and Gynaecology ward at Hospital Kuala Lumpur over a 6 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 and correlated with similar studies published in the literature previously. RESULTS: Total ocular abnormalities were detected in 34% of the infants. The most common finding was retinal haemorrhage in 29.6% of the 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 new-borns developing retinal haemorrhage compared to Lower Segment Caesarean Section (LSCS). There was a 6% increased likelihood of developing retinal haemorrhage for every 1-min increment in the duration of 2nd stage of labour. CONCLUSION: Universal eye screening for all new-borns using a wide-field digital imaging system is realistically possible, safe, and useful in detecting posterior segment disorders. The most common abnormality detected is retinal haemorrhage.
BACKGROUND: The current practice for new-born eye examination by an Ophthalmologist in Malaysian hospitals is limited to only preterm new-borns, syndromic or ill infants. Healthy term new-borns are usually discharged without a thorough eye examination. This study is aimed at determining the proportion and types of ocular abnormalities detected in purportedly healthy term new-borns. METHOD: This cross-sectional study is comprised of 203 participants, all purportedly healthy term new-born infants from the Obstetrics and Gynaecology ward at Hospital Kuala Lumpur over a 6 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 and correlated with similar studies published in the literature previously. RESULTS: Total ocular abnormalities were detected in 34% of the infants. The most common finding was retinal haemorrhage in 29.6% of the 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 new-borns developing retinal haemorrhage compared to Lower Segment Caesarean Section (LSCS). There was a 6% increased likelihood of developing retinal haemorrhage for every 1-min increment in the duration of 2nd stage of labour. CONCLUSION: Universal eye screening for all new-borns using a wide-field digital imaging system is realistically possible, safe, and useful in detecting posterior segment disorders. The most common abnormality detected is retinal haemorrhage.
Authors: Natalia F Callaway; Cassie A Ludwig; Mark S Blumenkranz; Jennifer Michelle Jones; Douglas R Fredrick; Darius M Moshfeghi Journal: Ophthalmology Date: 2016-02-11 Impact factor: 12.079
Authors: Anna L Ells; Jonathan M Holmes; William F Astle; Geoff Williams; David A Leske; Michael Fielden; Brad Uphill; Penny Jennett; Marilynne Hebert Journal: Ophthalmology Date: 2003-11 Impact factor: 12.079
Authors: M Laghmari; H Skiker; H Handor; B Mansouri; K Ouazzani Chahdi; R Lachkar; Y Salhi; O Cherkaoui; B Ouazzani Tnacheri; W Ibrahimy; H Alami; R Bezad; S Ahid; R Abouqal; R Daoudi Journal: J Fr Ophtalmol Date: 2014-02-24 Impact factor: 0.818