PMID- 37795729
OWN - NLM
STAT- MEDLINE
DCOM- 20231103
LR  - 20231103
IS  - 1812-2078 (Electronic)
IS  - 1812-2027 (Linking)
VI  - 20
IP  - 80
DP  - 2022 Oct-Dec
TI  - Retinal Haemorrhage in Newborns in Tertiary Care Hospital.
PG  - 483-487
AB  - Background Retinal haemorrhage in new-born is a clinically common neonatal fundus 
      condition. Although, it usually does not affect the development of visual 
      function, entities like macular haemorrhages may lead to amblyopia causing 
      deterioration of visual function. Such scenario leads to downgrade in quality of 
      life of the affected child. Objective To explore the underlying clinical factors 
      associated with retinal haemorrhage in term new-borns. Method A cross sectional 
      study was conducted involving 136 term neonates admitted in the neonatal 
      intensive care unit of Dhulikhel Hospital. Fundus examination was performed 
      within 2 weeks of delivery. Retinal haemorrhage was graded according to their 
      location in three retinal zones. Result Out of 136 cases examined, 44 (32.35%) of 
      the cases had one of the eyes with retinal haemorrhage. Where grade 1 retinal 
      haemorrhage was accounted in majority of the cases. Birth weight, gestational 
      age, mode of delivery, poor Appearance, Pulse, Grimace, Activity, and Respiration 
      (APGAR) Score in 1 and 5 minutes, birth asphyxia, neonatal sepsis and heavy work 
      in antenatal period had statistically significant correlation with occurrence of 
      retinal haemorrhage. Conclusion Our results suggest that spontaneous vaginal 
      delivery, larger birth weight, higher gestational age, birth asphyxia, low 
      Appearance, Pulse, Grimace, Activity, and Respiration score, are risk factors for 
      occurrence of neonatal retinal haemorrhage. It is recommended that in neonates 
      with above high-risk factors should undergo targeted fundus screening for early 
      identification and needful interventions.
FAU - Makaju Shrestha, R
AU  - Makaju Shrestha R
AD  - Department of Ophthalmology, Dhulikhel Hospital, Kathmandu University Hospital, 
      Dhulikhel, Kavre, Nepal.
FAU - Shrestha, S
AU  - Shrestha S
AD  - Department of Ophthalmology, Dhulikhel Hospital, Kathmandu University Hospital, 
      Dhulikhel, Kavre, Nepal.
FAU - Sharma, S
AU  - Sharma S
AD  - Department of Ophthalmology, Dhulikhel Hospital, Kathmandu University Hospital, 
      Dhulikhel, Kavre, Nepal.
FAU - Joshi, A
AU  - Joshi A
AD  - Department of Ophthalmology, Dhulikhel Hospital, Kathmandu University Hospital, 
      Dhulikhel, Kavre, Nepal.
FAU - Shrestha, P
AU  - Shrestha P
AD  - Department of Ophthalmology, Dhulikhel Hospital, Kathmandu University Hospital, 
      Dhulikhel, Kavre, Nepal.
FAU - Shrestha, J K
AU  - Shrestha JK
AD  - Department of Ophthalmology, Dhulikhel Hospital, Kathmandu University Hospital, 
      Dhulikhel, Kavre, Nepal.
LA  - eng
PT  - Journal Article
PL  - Nepal
TA  - Kathmandu Univ Med J (KUMJ)
JT  - Kathmandu University medical journal (KUMJ)
JID - 101215359
SB  - IM
MH  - Female
MH  - Humans
MH  - Infant, Newborn
MH  - Pregnancy
MH  - *Asphyxia/complications
MH  - Birth Weight
MH  - Cross-Sectional Studies
MH  - Quality of Life
MH  - *Retinal Hemorrhage/diagnosis/etiology/epidemiology
MH  - Tertiary Care Centers
EDAT- 2023/10/05 12:43
MHDA- 2023/10/05 12:44
CRDT- 2023/10/05 06:35
PHST- 2023/10/05 12:44 [medline]
PHST- 2023/10/05 12:43 [pubmed]
PHST- 2023/10/05 06:35 [entrez]
PST - ppublish
SO  - Kathmandu Univ Med J (KUMJ). 2022 Oct-Dec;20(80):483-487.