Three-year outcomes of ophthalmological examinations performed at 0–3 months of term/late-preterm infants

Öz

Abstract Objective: To present the ocular findings detected in babies with gestational ages >34 weeks in the ophthalmology outpatient clinic, as well as determine the frequency of these findings and their relationship with various variables, using data covering a span of three years. Metods: The outcomes of the vision screening performed in 7,820 term/late preterm infants aged 0–3 months who were examined at the ophthalmology outpatient clinic of Zeynep Kamil Maternity and Children’s Diseases Training and Research Hospital between 2015 and 2017 were analyzed in this retrospective, cross-sectional, observational, and descriptive study. Results: A total of 7,820 term and late-preterm infants were examined. An ocular finding was identified in 20.1% (n=1,569) of the infants. Retinal hemorrhage was detected as the most common finding in 9.5% (n=740) of the infants, and it was more common in infants who were ≤28 days than those who were 28 days post-natal (p<0.001). Immature vascularization (4.4%; n=346) and conjunctivitis (4.0%; n=313) were the other more common ocular findings. Conclusions: Abnormal ocular findings, including disorders that could be components of a systemic disease and could cause loss of vision, were identified in 20.1% of the infants. The first three months of life comprises the period of visual function evolution. Therefore, an ophthalmological examination should be performed on all newborns before discharge or as soon as possible after discharge for the early diagnosis and timely management of abnormal findings. Keywords: Eye screening, newborn screening, eye examination, cataract, retinal hemorrhage

Anahtar Kelimeler

• Göz taraması
• yenidoğan taraması
• katarakt
• retinal hemoraji

Term/geç preterm bebeklerin 0-3 aylıkken yapılan göz muayenelerinin üç yıllık sonuçları

Öz

Özet Amaç: Üç yıllık bir süreyi kapsayan verileri kullanarak, göz hastalıkları polikliniğinde gebelik yaşı >34 hafta olan bebeklerde tespit edilen göz bulgularını sunmak ve bu bulguların sıklığını ve çeşitli değişkenlerle ilişkilerini belirlemek. Gereç ve Yöntem: 2015-2017 yılları arasında Zeynep Kamil Kadın Doğum ve Çocuk Hastalıkları Eğitim ve Araştırma Hastanesi göz hastalıkları polikliniğinde muayene edilen 0-3 aylık 7.820 term/geç preterm bebeğe yapılan görme taramasının sonuçları bu retrospektif, kesitsel, gözlemsel ve tanımlayıcı çalışmada analiz edildi. Bulgular: Toplam 7.820 term ve geç preterm bebek muayene edildi. Bebeklerin %20,1'inde (n=1.569) göz bulgusu tespit edildi. Bebeklerin %9,5'inde (n=740) en sık görülen bulgu retina kanamasıydı ve ≤28 günlük bebeklerde doğumdan 28 gün sonra olanlara göre daha sıktı (p<0,001). İmmatür vaskülarizasyon (%4,4; n=346) ve konjonktivit (%4,0; n=313) diğer daha sık görülen göz bulgularıydı. Sonuç: Sistemik bir hastalığın bileşeni olabilen ve görme kaybına neden olabilen bozukluklar da dahil olmak üzere anormal göz bulguları bebeklerin %20,1'inde belirlendi. Yaşamın ilk üç ayı görsel fonksiyon evriminin dönemini kapsar. Bu nedenle, anormal bulguların erken teşhisi ve zamanında yönetimi için tüm yenidoğanlara taburcu olmadan önce veya taburcu olduktan hemen sonra oftalmolojik muayene yapılmalıdır. Anahtar kelimeler: Göz taraması, yenidoğan taraması, göz muayenesi, katarakt, retina kanaması

Anahtar Kelimeler

• Göz taraması
• yenidoğan taraması
• katarakt
• retinal hemoraji

Destekleyen Kurum

Destekleyen kurum yoktur.

Etik Beyan

yazarlar arasında çıkar çatışması yoktur.

Kaynakça

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