Macular Findings in Healthy Full-term Hispanic Newborns Observed by Hand-held Spectral-Domain Optical Coherence Tomography

Macular Findings in Healthy Full-term Hispanic Newborns Observed by Hand-held Spectral-Domain Optical Coherence Tomography
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DOI:
10.3928/23258160-20130801-01
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发表时间:
2013-09-01
影响因子:
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通讯作者:
Freedman, Sharon F.
Freedman, Sharon F.
中科院分区:
其他
文献类型:
--
作者:
Cabrera, Michelle T.;O'Connell, Rachelle V.;Freedman, Sharon F.

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背景与目的:为了加强对不同种族正常新生儿视网膜形态的了解,作者报道了西班牙裔健康新生儿的光谱域光学相干断层扫描(SD-OCT)黄斑的发现。患者和方法:在这个经irb批准的前瞻性观察性病例系列中,20名足月西班牙裔新生儿在杜克分娩中心接受了扩张性视网膜检查和无镇静手持式SD-OCT成像。结果:20例新生儿成像(35%男性,中位胎龄39周,范围36 - 40周),2例(10%)有双侧中央凹下积液,包括一例双侧视网膜下积液袋。2例婴儿3眼(10%)有视网膜黄斑囊样结构(1例1.5月龄增大,3月龄消退)。间接眼镜检查未见SD-OCT表现。结论:一些西班牙裔新生儿在SD-OCT上有视网膜下积液或黄斑囊样结构。本研究扩大了我们对不同种族的健康足月新生儿的SD-OCT检查结果的理解。
BACKGROUND AND OBJECTIVE: To enhance understanding of ethnically diverse normal newborn retinal morphology, the authors report spectral-domain optical coherence tomography (SD-OCT) macular findings in healthy Hispanic newborns.PATIENTS AND METHODS: In this IRB-approved prospective, observational case series, 20 full-term Hispanic newborns had dilated retinal examinations and imaging by hand-held SD-OCT without sedation at the Duke Birthing Center.RESULTS: Of 20 newborns imaged (35% male; median gestational age: 39 weeks; range: 36 to 40 weeks), two (10%) had bilateral subfoveal fluid, including one case of bilateral double subretinal fluid pockets. Three eyes of two infants (10%) had retinal macular cystoid structures (one enlarged at 1.5 months, with resolution by 3 months). These SD-OCT findings were not visible by indirect ophthalmoscopy.CONCLUSION: Some Hispanic newborns have subretinal fluid or macular cystoid structures on SD-OCT. This study expands our understanding of findings seen by SD-OCT in healthy full-term newborns of various races.