Clinic analysis of fundus screening and the risk factors of retinal hemorrhage in neonates

Abstract

AIM:To understand the basic conditions of neonatal fundus lesions and analyze the influencing factors of retinal hemorrhage.METHODS: Totally 289 neonates from our hospital in the department of obstetric ward and neonatal intensive care unit from January 1, 2016 to May 31, 2018 were screened for fundus oculi disease by Retcam Ⅲ. The following information were collected such as gender, gestational age, history of asphyxia, maternal pregnancy and delivery way.RESULTS: Among the 289 infants, there were 97 premature infants and 192 term infants. Sixty-four(22.1%)were detected with fundus lesions. Among which, 34(11.8%)were detected with retinal hemorrhage and 23(8.0%)retinopathy of prematurity. Single factor analysis showed that the rate of retinal hemorrhage in premature infants was higher than term(PPPPPCONCLUSION: The incidence of neonatal retinal hemorrhage is relatively high, which is related to factors such as gestational age, mode of delivery, history of asphyxia and history of maternal pregnancy hypertension.

Keywords

• retinal hemorrhage
• neonatal fundus screening
• risk factors
• digital wide-area imaging system for children