Is it important to screen newborns for eye disease?

Every parent wants to have a healthy, beautiful and smart baby. However, not everyone wants to have the baby they want. Every year, many children with disabilities are born in China, including newborns with eye disorders, and many countries around the world have been screening newborns for vision since 2000. Currently, many regions in China have also carried out this work. Due to technical limitations and parental prejudice, this work is not yet widespread in China. So how important is newborn vision screening? First of all, the newborn period is a sensitive period for vision development, and the continuous maturation and perfection of the visual organs depend on the visual organs to receive normal light stimulation. Therefore, any disease that affects or interferes with light stimulation during this period can affect the child’s visual development. For example, congenital ptosis, congenital cataracts, strabismus, etc. If such disorders are detected at an early stage and are actively intervened and treated, the child can obtain a good visual acuity. Second, certain congenital disorders that are not detected in time will bring lifelong regrets to the child. For example, congenital glaucoma and retinopathy of prematurity are diseases that seriously affect visual function. If detected in time and treated properly, they can enable the child to retain a certain amount of vision and reduce huge problems for the child and even the family. There is also retinoblastoma, a malignant tumor of childhood that seriously endangers the health of children and if detected early, it can save the vision and even the life of the affected child. There are also congenital dysplasias such as neonatal dacryocystitis, corneal dermatoma, and infantile hemangioma, all of which require treatment in infancy and are quite effective. Neonatal eye screening does not require particularly difficult techniques. An experienced pediatric ophthalmologist can detect most neonatal eye diseases by observing the newborn’s response to light stimulation, external eye examination, and red light reflex. Newborns who pass the initial screening process enter the normal child health screening process, while those who do not pass the screening or are diagnosed with an eye disease are offered intervention or treatment. The baby’s eye screening procedure should be: After birth: inflammatory (lacrimal sacculitis, conjunctivitis, etc.), other external eye diseases, congenital developmental malformations of the eye. 42 days: fundus (vitreous, retina), external eye diseases, inflammatory (lacrimal sacculitis, conjunctivitis, etc.). 6 months: strabismus examination, vision screening, refractive screening, ocular ultrasonography, etc. 1-3 years: visual acuity examination (optokinetic nystagmus, selective viewing, dot visual acuity chart, graphic visual acuity chart), refractive screening, strabismus examination, amblyopia, etc. may be performed. 3 years old – preschool age: visual acuity check, refraction, eye position check, myopia possibility assessment. The entire medical staff of the ophthalmology department would like to remind young parents to be smart parents first in order to get a healthy baby. Don’t forget to have your child’s eyes examined after birth.