Publication: Retinal Haemorrhage in Newborns in Tertiary Care Hospital
Date
2022
Journal Title
Journal ISSN
Volume Title
Publisher
Kathmandu University
Abstract
ABSTRACT
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.
KEY WORDS
Asphyxia, New-born, Retinal haemorrhage
Description
Makaju Shrestha R, Shrestha S, Sharma S, Joshi A, Shrestha P, JK Shrestha
Department of Ophthalmology
Dhulikhel Hospital, Kathmandu University Hospital
Dhulikhel, Kavre, Nepal
Keywords
Asphyxia, New-born, Retinal haemorrhage