Who should be screened for newborn fundus?

Newborn fundus screening is a way to screen whether a child is healthy. This is a very effective screening method. Through this screening method, it can be discovered as soon as possible whether the child is sick. However, many parents do not recognize this method and do not know who to target for newborn fundus screening. Next, let’s take a look at who should be screened for newborn fundus.

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 pregnancy, 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: fundus examination to rule out 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.

The above are the targets of newborn fundus screening. A full body examination should be conducted without any omissions, and only by checking each one one by one can the condition and cause be found. Some more serious illnesses, such as cerebral palsy in children, are often caused by momentary negligence, so this method is still very scientific.