Karademir Zeliha, Semerci Seda Yilmaz, Ozdemir Fatma Esin, Bayramoglu Sadik Etka
Department of Ophthalmology, Kanuni Sultan Suleyman Training and Research Hospital, Istanbul, Turkiye.
Department of Neonatology, Kanuni Sultan Suleyman Training and Research Hospital, Istanbul, Turkiye.
North Clin Istanb. 2023 Feb 13;10(1):74-78. doi: 10.14744/nci.2021.19971. eCollection 2023.
The aim of this study is to determine the incidence and characteristics of newborns with subconjunctival hemorrhage (SCH).
In our study, patient files of term infants referred to the study hospital's ophthalmology clinic in 2018-19 were analyzed. Demographic data of infants including gestational week, birth weight, gender, and head circumference were all recorded. The frequency of SCH detection was evaluated depending on delivery type. Demographic data of infants with and without retinal hemorrhage (RH) were compared.
A total of 172 eyes of 86 infants were included in study. Forty-two (48.8%) of 86 neonates were male, and 44 (51.2%) were female. Mean gestational week was 38.62±1.1. SCH was detected in 31.4% (27) in the right eye, 36% (31) in the left eye, and 32.6% (28) in both eyes. The diagnosis was made at the mean of 3.74 days (range 1-20). Mean birth weight was found as 3621.1±453.3 g, head circumference as 35.4±1.3 cm, height as 50.7±2 cm, and chest circumference as 33.6±1.4 cm. Mean Apgar score in 1 min was 7.1±0.4; 5 min was 9. About 11.6% (10) of the mothers were nulliparous, and 88.4% (76) were multiparous. It was found that 79 of the deliveries were vaginal and seven with cesarean section. RH was not detected in any of the infants born with cesarean section.
SCH and RH were more common in infants born vaginally. If SCH is detected, a fundus examination should be performed to not miss possible RH.
本研究旨在确定结膜下出血（SCH）新生儿的发病率及特征。
在我们的研究中，分析了2018 - 19年转诊至研究医院眼科门诊的足月儿的病历。记录了婴儿的人口统计学数据，包括孕周、出生体重、性别和头围。根据分娩方式评估SCH的检出频率。比较了有视网膜出血（RH）和无视网膜出血婴儿的人口统计学数据。
共有86例婴儿的172只眼睛纳入研究。86例新生儿中，42例（48.8%）为男性，44例（51.2%）为女性。平均孕周为38.62±1.1周。右眼检出SCH的比例为31.4%（27只），左眼为36%（31只），双眼为32.6%（28只）。诊断平均在3.74天（范围1 - 20天）做出。平均出生体重为3621.1±453.3克，头围为35.4±1.3厘米，身高为50.7±2厘米，胸围为33.6±1.4厘米。1分钟时平均阿氏评分7.1±0.4；5分钟时为9分。约11.6%（10例）母亲为初产妇，88.4%（76例）为经产妇。发现79例为阴道分娩，7例为剖宫产。剖宫产出生的婴儿均未检出RH。
SCH和RH在阴道分娩的婴儿中更常见。如果检测到SCH，应进行眼底检查以避免漏诊可能的RH。
