Neonatal eye screening for 203 healthy term new-borns using a wide-field digital retinal imaging system

Abstract Background The current practice for new-born eye examination by an Ophthalmologist in Malaysian hospitals is limited to only preterm new-borns, syndromic or ill infants. Healthy term new-borns are usually discharged without a thorough examination. This study aimed at determining the proportion and types of ocular abnormalities detected purportedly healthy new-borns. Method cross-sectional comprised 203 participants, all infants from Obstetrics Gynaecology ward Hospital Kuala Lumpur over 6 months period. list includes external examination, red reflex test, fundus imaging using wide-field digital retinal system (Phoenix Clinical ICON Paediatric Retinal Camera) trained Investigator. pathologies were documented. results compared correlated with similar studies published literature previously. Results Total 34% most common finding was haemorrhage 29.6% infants, which 53.3% occurred bilaterally. Spontaneous vaginal delivery (SVD) remained greatest risk factor has nearly 3.5 times higher developing Lower Segment Caesarean Section (LSCS). There 6% increased likelihood every 1-min increment duration 2nd stage labour. Conclusion Universal screening realistically possible, safe, useful detecting posterior segment disorders. abnormality haemorrhage.