Which newborns need fundus examination?

In developed countries such as Europe and the United States, newborns receive routine fundus examinations within 6 weeks of birth to reduce the rate of blindness caused by congenital eye diseases. This work is gradually being taken seriously in the country, and many children's hospitals and maternal and child health care hospitals have begun to carry out early fundus examinations of newborns. In order to better prevent the occurrence of diseases, we need to understand what kind of newborns need fundus examinations. So which newborns need fundus examinations? Let's see how authoritative experts answer this question based on years of clinical experience.

1. Premature and low-birth-weight babies: The shorter the gestational age and the lower the birth weight of the premature baby, the higher the incidence of retinopathy. Especially for premature infants with a history of high-concentration oxygen therapy, hypoxemia, multiple pregnancies, neonatal asphyxia, patent ductus arteriosus, pulmonary bronchial dysplasia, respiratory distress syndrome, hypercapnia, acidosis, anemia, blood transfusion, hyperbilirubinemia, in vitro fertilization, and vitamin E deficiency, standardized fundus screening should be performed to exclude the occurrence of retinopathy of prematurity, a blinding eye disease.

2. For high-risk infants such as neonatal asphyxia and respiratory distress syndrome: perform fundus examination to exclude ischemic hypoxic retinal neuropathy;

3. For neonatal jaundice patients who have been exposed to blue light: perform fundus examination to exclude damage to the eye lens and retina;

4. Congenital syphilis and cytomegalovirus infection: exclude retinal optic neuropathy and can help with disease diagnosis and prognosis;

5. Those who still cannot follow light 2 months after birth: exclude congenital cataracts, glaucoma and other abnormalities in the development and function of eye tissues;

6. Children with cerebral palsy often have brain tissue damage or intracranial hemorrhage. Fundus examination should be performed to rule out optic nerve atrophy and fundus hemorrhage. Children with cerebral palsy often need to undergo hyperbaric oxygen therapy, and fundus examination should be performed before and after hyperbaric oxygen therapy to rule out contraindications such as retinal hemorrhage and vascular malformations.

Which newborns need fundus examination? Through the above content, we have learned some useful information. We all know that if the fundus examination of newborns is done properly, it will be of great help in preventing children's diseases. Therefore, we should pay more attention to the physical health of newborns in daily life in order to better prevent diseases. Finally, I wish all newborns a healthy life and a happy and beautiful life!