Clinic analysis of fundus screening and the risk factors of retinal hemorrhage in neonates / 国际眼科杂志(Guoji Yanke Zazhi)

ABSTRACT

@#AIM:To understand the basic conditions of neonatal fundus lesions and analyze the influencing factors of retinal hemorrhage.<p>METHODS: Totally 289 neonates from our hospital in the department of obstetric ward and neonatal intensive care unit from January 1, 2016 to May 31, 2018 were screened for fundus oculi disease by Retcam Ⅲ. The following information were collected such as gender, gestational age, history of asphyxia, maternal pregnancy and delivery way.<p>RESULTS: Among the 289 infants, there were 97 premature infants and 192 term infants. Sixty-four(22.1%)were detected with fundus lesions. Among which, 34(11.8%)were detected with retinal hemorrhage and 23(8.0%)retinopathy of prematurity. Single factor analysis showed that the rate of retinal hemorrhage in premature infants was higher than term(<i>P</i><0.05). The rate of retinal hemorrhage in neonates with perineal delivery was higher than cesarean section(<i>P</i><0.05). The rate of retinal hemorrhage in neonates with a history of asphyxiation was higher than that without(<i>P</i><0.05). The rate of retinal hemorrhage in neonates with high blood pressure during pregnancy was higher than that without(<i>P</i><0.05). After adjusting for the effects of risk factors, preterm infants, perineal births, history of asphyxiation, and high blood pressure during pregnancy were the high risk factors for neonatal retinal hemorrhage(<i>P</i><0.05).<p>CONCLUSION: The incidence of neonatal retinal hemorrhage is relatively high, which is related to factors such as gestational age, mode of delivery, history of asphyxia and history of maternal pregnancy hypertension.