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define NIPE ✔Correct Answer-The newborn and infant physical examination includes a holistic top
to toe physical exam of the newborn and a thorough examination of the eyes, hips, heart and testes
which screens for congenital conditions within 72hrs of birth. a second screen is done at 6-8 weeks
to identify conditions that may appear later (PHE, 2018).
What is the purpose of screening the eyes? ✔Correct Answer-to look for any abnormality of the
eye and to screen for congenital cataracts
- cataracts are the largest treatable cause of visual loss in childhood in the UK
what is the incidence of congenital cataracts? ✔Correct Answer-2-3:10,000
over 50% in both eyes
1/5 fam hist
Take a history ✔Correct Answer-- mat and neonatal notes
- family history
- maternal health
- previous pregnancies
- any history of eye problems
- premature or lbw
- estimated that antenatal events may contribute to abnormal occular development in up to 61% of
paediatric population in the UK
What are the risk factors? ✔Correct Answer-- family history of bilateral congenital or hereditary
cataracts in 1st degree relative
- family history of occular issues
- extensive port wine stain involving eye lids (can lead to glaucoma)
- mat exposure to viruses e.g. rubella, CMV
- neurodevelopmental conditions, deafness
-prematurity
-genetic disorder such as trisomy 21
How do you perform the examination? ✔Correct Answer-Assess:
-fully open eyelids
-size of both eyes
-symmetry
-clarity of cornea
symmetry of pupils
Fundal reflex:
-dim lights, settled baby
- ophthalmoscope at arms length from babies face, circle of light around baby's eye
colour that indicates fundal reflex:
-white babies - red/orange
-black/brown babies: pinky grey/yellow