First Author: H.Dietrich BRAZIL
Co Author(s): N. Dietrich P. Cagliari
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The aim of this study was to identify eye fundus alterations in neonates, especially those alterations associated with congenital conditions, through the use of the Pictor Plus ophthalmic camera. It also aims to evaluate efficacy, operability and safety of a digital method for recording neonate retinal imaging
Thirty four neonates were examined at the Darcy Vargas Maternity Hospital in Joinville, SC Brazil from October 2016 through March 2017.
a Pictor Plus portable ophthalmic camera, model VP2RET manufactured by Volk (Volk Optical, Inc. , Mentor, OH) was utilized. Whenever pupil dilation was required, mydriatic eye drops (tropicamide 0.5%, phenylephrine 2.5%) were used. In order to reduce discomfort during examination, a 25% oral glucose solution was administered. As the neonates in this study had been previously screened with indirect ophthalmoscopy for peripheral retina examination, their pupils were dilated. However, for imaging examination with Pictor Plus, pupil dilation is not required.
Nineteen neonates presented with normal results and 15 neonates presented with unilateral or bilateral alterations.
The Pictor Plus portable ophthalmic camera has shown to be efficient in recording high quality images of eye fundus in neonates without requiring the use of mydriatic eye drops. It also enabled performing examination without sedation therefore reducing the incidence of complications such as eyelid trauma, corneal ulcers, hypoventilation and bradycardia. Additionally, the use of the Pictor Plus camera may enable the setting of a permanent data bank for clinical follow up of possible alterations. This data bank may be utilized for research and ongoing education as well as for enabling family members and health care teams to achieve an improved understanding of the condition. It may also be a key tool in telemedicine. Identifying potential disorders in the neonate eye as well as performing early intervention increases the chances of management, vision rehabilitation and cure. However, neither this study nor the Pictor Plus camera aimed at diagnosing conditions