Objective: To use the Retcam 3 for neonatal eye screening to assess its technological value, and to simultaneously analyze the fundus pathological changes and related factors in neonates. Methods: This was a retrospective analysis of the clinical medical records of 4 016 full-term newborns whose fundus had been examined from September 2015 to February 2017 with a Retcam 3 imaging system in NO.3 Bao Gang Workers' Hospital. A relative number index was used to describe the enumerated data, and a chi square test was used for analysis. Results: 1 438 cases of fundus lesions (positive rate of 35.81%) were discovered in4 016 newborns who had undergone a fundus screening check. There were 1 317 cases of retinal bleeding(20.74% and 12.05% for monocular and binocular, respectively), 36 cases of white spots in the retina (0.90%, 0.74% and 0.15% for monocular and binocular), 25 cases of retinal pigment nevi (0.62%, 0.60% and 0.02% for monocular and binocular), 5 cases of choroidal coloboma (0.12%) that was not combined with collyriculum iridis, 10 cases of uneven distribution of retinal pigment (0.25%), 24 cases (0.60%) of suspected familial exudative vitreoretionpathy without fundus fluorescene angiography and gene detection,14 cases of retinal vascular exception (0.35%), 2 cases of preretinal hemorrhage (0.04%), 1 case of vitreous bleeding (0.02%), 2 cases of albinism with fundus changes (0.04%) and 2 cases of congenital cataract (0.04%). In detail, the cases of levels Ⅰ, Ⅱ, Ⅲ and Ⅳ of retinal bleeding were 560 (10.26% and 3.68% for monocular and binocular), 543 (7.57% and 5.95% for monocular and binocular), 185 (2.51% and 2.09% for monocular and binocular) and 29 (0.40% and 0.32% for monocular and binocular), respectively.Conclusions: The Retcam 3 wide-field fundus imaging system can detect eye disease in neonates, providing a reliable and effective basis for clinical diagnosis and treatment. Fundus lesions in neonates are diverse with a high detection rate. It should be taken into account by the parents of newborns and society.
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Hans SA, Bawab SY, Woodhouse ML. A finite element infant eye model to investigate retinal forces in shaken baby syndrome.Graefes Arch Clin Exp Ophthalmol, 2009, 247(4): 561-571.DOI: 10.1007/s00417-008-0994-1.