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

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.