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Magnusdottir, V., Vehmeijer, W.B., Eliasdottir, T.S., Hardarson, S.H., Schalij-Delfos, N.E., Stefánsson, E.

期刊名称:Acta Ophthalmologica



摘要:目的:新生儿目前的眼底成像需要散瞳,眼窥镜和角膜接触。我们建议进行扫描激光检眼镜(SLO)检查,可允许超宽视野成像,减少孩子的压力。方法:这项前瞻性观察性单中心研究在冰岛雷克雅未克大学医院Landspítali进行。在这项研究中,在不使用散瞳药或眼睛窥镜的情况下,使用一种非接触性广视野SLOOptomap 200Tx)来对健康的足月新生儿进行视网膜成像。小孩被一名父母抱着,一名研究人员在SLO摄像机前面支起小孩的头部,用手指或棉花镊子打开眼睛。结果:共招募了59名参与者(34名女性)。平均年龄16岁,平均孕龄40±1周。获得了44名受试者的超宽域(200°)图像。 27名受试者(61%)至少有一个超宽域图像,视神经所有象限中的视盘和血管部分可见并且集中。结论:扫描激光检眼镜(SLO)超广角眼底成像没有角膜接触,开睑器或散瞳,因此在健康足月新生儿中是可行的。这种方法可能是新生儿视网膜成像的改善。婴儿眼球运动,无论是睡眠还是清醒,都影响到眼底捕获,但是焦点和图像质量总体上是好的。

PURPOSE:Current fundus imaging in newborn babies requires mydriatics, eye specula and corneal contact. We propose that a scanning laser ophthalmoscope (SLO) allows ultra wide-field imaging with reduced stress for the child.METHODS:This prospective observational single centre study was conducted in Landspítali, University Hospital, Reykjavik, Iceland. In this study, a noncontact wide-field SLO (Optomap 200Tx) was used to image the retina in healthy full-term newborns without the use of mydriatics or eye specula. The child was held by one of the parents, while one of the researchers supported the child's head in front of the SLO camera for alignment and opened the eye with either a finger or a cotton tip.RESULTS:Fifty-nine participants were recruited (34 females). The mean age was 16 days, and the mean gestational age was 40 ± 1 weeks at the time of imaging. Ultra-wide-field (200°) images were obtained of 44 participants. Twenty-seven participants (61%) had at least one ultra wide-field image with the optic disc and vessel segments in all quadrants of the fundus visible and in focus. No retinal pathology was found in the participants with the exception of one participant with small retinal haemorrhages.CONCLUSION:Scanning laser ophthalmoscope (SLO) ultra-wide-field fundus imaging is feasible in healthy full-term newborns without corneal contact, eye speculum or mydriatics. This approach could be an improvement for retinal imaging in newborn infants. Eye movement of the infant, whether asleep or awake, influenced which part of the fundus was captured, but focus and image quality were generally good.


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