综合性医院7239例新生儿眼部筛查结果的总结与分析

Summary and analysis of the results of eye screening in 7239 newborns

目的:总结和分析综合性医院使用数字化广域眼底成像系统(RetCam3)进行新生儿眼部筛查的结果,为新生儿眼病防治提供参考依据。方法:收集2018-12/2021-12在中山市人民医院进行眼部筛查的新生儿7239例的临床资料,均采用RetCam3获取眼部筛查图像。对筛查结果异常的新生儿进行相应治疗和随访,并进行总结分析。结果:纳入新生儿7239例中眼部异常者1200例(16.58%),其中眼前节异常7例,眼底异常1193例。7例眼前节异常者中,先天性白内障2例、瞳孔残膜2例、角膜白斑3例。1193例眼底异常者中,视网膜出血(RH)1141例,早产儿视网膜病变(ROP)19例。足月儿中出现类ROP者6例。结论:新生儿眼部异常以眼后节为主,综合性医院进行新生儿眼病筛查有利于早期发现和治疗新生儿眼病。

AIM:To summarize and analyze the results of neonatal eye screening using digital wide-area fundus imaging system(RetCam3)in general hospital,and to provide references for the prevention and treatment of neonatal eye diseases.METHODS:There were 7239 newborns subjected to eye examinations in Zhongshan City People’s Hospital from December 2018 to December 2021,and RetCam3 was used to obtain eye screening images.Newborns with abnormal screening results were treated and followed up accordingly.RESULTS:Among 7239 newborns,1200(16.58%)newborns were diagnosed with abnormal eyes,including 7 cases of anterior segment abnormalities and 1193 cases of fundus abnormalities.Among 7 cases of anterior segment abnormalities,2 cases were congenital cataract,2 cases were pupillary residual membrane,and 3 cases were corneal leukoplakia.Among 1193 cases of fundus abnormalities,1141 cases were retinal hemorrhage(RH),and 19 cases were retinopathy of prematurity(ROP).In addition,there were 6 cases of ROP-like in term infants.CONCLUSION:Neonatal ocular abnormalities mainly develop in the posterior segment of the eye.Neonatal eye disease screening in general hospitals is beneficial to early detection and treatment of neonatal ocular diseases.