Digital eye exam at neonates triage - beyond the red reflex examination

Nancy Maria Douat Dietrich; Helena Luiza Douat Dietrich; João Alfredo Dietrich; Patrícia Zanotelli Cagliari

doi:10.36489/nursing.2024v28i314p9392-9395

Authors

Nancy Maria Douat Dietrich Enfermeira chefe do Instituto de Oftalmologia de Joinville, Graduação em Enfermagem PUCPR, Pós Graduação em Enfermagem em Oftalmologia Faculdade de Ciências Médicas da Santa Casa de São Paulo https://orcid.org/0000-0001-9284-7513
Helena Luiza Douat Dietrich Graduação em Medicina UFPR, Especialização em Oftalmologia Fundação Altino Ventura, Título de Especialista em Oftalmologia CBO/ AMB, Fellowship em Oculoplástica, Órbita Santa Casa de Misericórdia de São Paulo https://orcid.org/0000-0003-3685-4828
João Alfredo Dietrich Oftalmologista Instituto de Oftalmologia de Joinville, Graduação em Medicina UFSC, Residência em Oftalmologia IAMSPE-SP , Título de Especialista em Oftalmologia CBO/ AMB, Fellowship em Córnea e Doenças Externas Instituto Tadeu Cvintal, Fellowship em Catarata Universitat Bonn https://orcid.org/0000-0002-3545-8455
Patrícia Zanotelli Cagliari Médica Oftalmologista, Graduação em Medicina Universidade Federal do Rio Grande do Sul - Hospital das Clínicas de Porto Alegre/RS Especialista pelo Conselho Brasileiro de Oftalmologia/Associação Médica Brasileira.,Mestre em saúde e meio ambiente - Universidade da Região de Joinville - SC, Docente curso de medicina da Universidade da Região de Joinville - SC, Oftalmologista - Maternidade Darcy Vargas, Joinville – SC https://orcid.org/0000-0003-0417-967X

DOI:

https://doi.org/10.36489/nursing.2024v28i314p9392-9395

Keywords:

Newborn, eye diseases, diagnostic imaging, teleophthalmology, triage

Abstract

Objective: The aim of this study was to highlight the potential viability to the Digital Eye Fundus Triage Neonates examination be performed by a nurse in order to detect abnormalities until 3 months after birth. Method: Thirty-four neonates were examined at this randomized quantitative study. A Pictor Plus portable ophthalmic camera, model VP2RET manufactured by Volk (Volk Optical, Inc., Mentor, OH) was utilized. To reduce discomfort during examination, a 25% oral glucose solution was administered. Results: Nineteen neonates presented with normal results and 15 neonates presented with unilateral or bilateral alterations. Conclusion: The Digital Eye Fundus Triage Neonates examination could be performed by a nurse in order to detect abnormalities until 3 months after birth. Since visual system development occurs concomitantly with child´s neuromotor development, Eye Fundus Triage may have a profound impact on improving not only ocular but on overall health of newborns and children.

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