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中国足月新生儿眼科筛查:4年结果综述

Full-Term Neonatal Ophthalmic Screening in China: A Review of 4-Year Outcomes.

作者信息

Li Li-Hong, Wu Wei-Chi, Li Na, Lu Jun, Zhang Guo-Ming, Zhao Jun-Yang, Ma Yan

出版信息

Ophthalmic Surg Lasers Imaging Retina. 2017 Dec 1;48(12):983-992. doi: 10.3928/23258160-20171130-05.

Abstract

BACKGROUND AND OBJECTIVE

To report the 4-year outcomes of a neonatal ophthalmic screening program in the Kunming Maternity and Child Care Hospital of Kunming City, Kunming, China.

PATIENTS AND METHODS

This was a retrospective, observational case series study. Newborns who underwent neonatal eye screening using the RetCam system (Clarity Medical Systems, Pleasanton, CA) at the authors' hospital from March 2010 to February 2014 were included.

RESULTS

Of the 15,284 full-term infants who participated in the program, 21% (3,171 of 15,284) had some ocular abnormalities. Among these abnormalities, retinal hemorrhage was the most frequent finding, accounting for 19% (2,899 of 15,284) of all cases. Other anomalies were found in 2% (272 of 15,284) of the cases. No major ocular or systemic complications were found to be associated with the screening process.

CONCLUSION

Overall, 21% of the newborns who underwent the eye screening program were found to have an abnormality. The use of the RetCam for the screening program was both efficient and safe in identifying ocular anomalies. [Ophthalmic Surg Lasers Imaging Retina. 2017;48:983-992.].

摘要

背景与目的

报告中国昆明市妇幼保健院新生儿眼科筛查项目的4年成果。

患者与方法

这是一项回顾性观察性病例系列研究。纳入了2010年3月至2014年2月期间在作者所在医院使用RetCam系统(Clarity Medical Systems,普莱森顿,加利福尼亚州)接受新生儿眼部筛查的新生儿。

结果

在参与该项目的15284名足月儿中,21%(15284例中的3171例)存在一些眼部异常。在这些异常中,视网膜出血是最常见的发现,占所有病例的19%(15284例中的2899例)。其他异常在2%(15284例中的272例)的病例中被发现。未发现与筛查过程相关的重大眼部或全身并发症。

结论

总体而言,接受眼部筛查项目的新生儿中有21%被发现存在异常。在识别眼部异常方面,使用RetCam进行筛查项目既有效又安全。[《眼科手术、激光与视网膜成像》。2017;48:983 - 992。]

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