Pain in neonates during screening for retinopathy of prematurity using binocular indirect ophthalmoscopy and wide-field digital retinal imaging: a randomised comparison

C. A. Dhaliwal; E. Wright; N. McIntosh; K. Dhaliwal; B. W. Fleck

doi:10.1136/adc.2009.168971

Pain in neonates during screening for retinopathy of prematurity using binocular indirect ophthalmoscopy and wide-field digital retinal imaging: a randomised comparison

C. A. Dhaliwal, E. Wright, N. McIntosh, K. Dhaliwal, B. W. Fleck

Research output: Contribution to journal › Article › peer-review

Abstract / Description of output

Objective To compare the pain experienced by premature infants undergoing wide-field digital retinal imaging (WFDRI) and binocular indirect ophthalmoscopy (BIO) for retinopathy of prematurity (ROP) screening.

Methods Infants were recruited at Edinburgh Royal Infirmary Neonatal Unit, Edinburgh, UK. Eyes were examined by WFDRI and BIO with eyelid speculum by two experienced paediatric ophthalmologists in random order. A pain score (Premature Infant Pain Profile (PIPP)) for WFDRI and BIO was generated.

Results A total of 76 infants were recruited. The (mean, SD) PIPP score for WFDRI was 15.0, 2.1 and for BIO was 15.2, 2.4 (paired t test p=0.47). The authors observed that infants started crying with corresponding physiological changes as soon as the eyelid speculum was inserted and crying stopped on speculum removal.

Conclusion WFDRI and BIO with eyelid speculum are similarly painful for infants. The authors speculate that the eyelid speculum rather than the examination method may contribute most to the pain experienced.

Original language	English
Pages (from-to)	F146-F148
Journal	Archives of Disease in Childhood. Fetal and Neonatal Edition
Volume	95
Issue number	2
DOIs	https://doi.org/10.1136/adc.2009.168971
Publication status	Published - Mar 2010

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http://fn.bmj.com/content/95/2/F146.abstract

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@article{b84e385e413d4555a037617b39a6a9d3,

title = "Pain in neonates during screening for retinopathy of prematurity using binocular indirect ophthalmoscopy and wide-field digital retinal imaging: a randomised comparison",

abstract = "Objective To compare the pain experienced by premature infants undergoing wide-field digital retinal imaging (WFDRI) and binocular indirect ophthalmoscopy (BIO) for retinopathy of prematurity (ROP) screening.Methods Infants were recruited at Edinburgh Royal Infirmary Neonatal Unit, Edinburgh, UK. Eyes were examined by WFDRI and BIO with eyelid speculum by two experienced paediatric ophthalmologists in random order. A pain score (Premature Infant Pain Profile (PIPP)) for WFDRI and BIO was generated.Results A total of 76 infants were recruited. The (mean, SD) PIPP score for WFDRI was 15.0, 2.1 and for BIO was 15.2, 2.4 (paired t test p=0.47). The authors observed that infants started crying with corresponding physiological changes as soon as the eyelid speculum was inserted and crying stopped on speculum removal.Conclusion WFDRI and BIO with eyelid speculum are similarly painful for infants. The authors speculate that the eyelid speculum rather than the examination method may contribute most to the pain experienced.",

author = "Dhaliwal, {C. A.} and E. Wright and N. McIntosh and K. Dhaliwal and Fleck, {B. W.}",

year = "2010",

month = mar,

doi = "10.1136/adc.2009.168971",

language = "English",

volume = "95",

pages = "F146--F148",

journal = "Archives of Disease in Childhood. Fetal and Neonatal Edition",

issn = "1359-2998",

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Dhaliwal, CA, Wright, E, McIntosh, N, Dhaliwal, K & Fleck, BW 2010, 'Pain in neonates during screening for retinopathy of prematurity using binocular indirect ophthalmoscopy and wide-field digital retinal imaging: a randomised comparison', Archives of Disease in Childhood. Fetal and Neonatal Edition, vol. 95, no. 2, pp. F146-F148. https://doi.org/10.1136/adc.2009.168971

Pain in neonates during screening for retinopathy of prematurity using binocular indirect ophthalmoscopy and wide-field digital retinal imaging: a randomised comparison. / Dhaliwal, C. A.; Wright, E.; McIntosh, N. et al.
In: Archives of Disease in Childhood. Fetal and Neonatal Edition, Vol. 95, No. 2, 03.2010, p. F146-F148.

Research output: Contribution to journal › Article › peer-review

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T1 - Pain in neonates during screening for retinopathy of prematurity using binocular indirect ophthalmoscopy and wide-field digital retinal imaging: a randomised comparison

AU - Dhaliwal, C. A.

AU - Wright, E.

AU - McIntosh, N.

AU - Dhaliwal, K.

AU - Fleck, B. W.

PY - 2010/3

Y1 - 2010/3

N2 - Objective To compare the pain experienced by premature infants undergoing wide-field digital retinal imaging (WFDRI) and binocular indirect ophthalmoscopy (BIO) for retinopathy of prematurity (ROP) screening.Methods Infants were recruited at Edinburgh Royal Infirmary Neonatal Unit, Edinburgh, UK. Eyes were examined by WFDRI and BIO with eyelid speculum by two experienced paediatric ophthalmologists in random order. A pain score (Premature Infant Pain Profile (PIPP)) for WFDRI and BIO was generated.Results A total of 76 infants were recruited. The (mean, SD) PIPP score for WFDRI was 15.0, 2.1 and for BIO was 15.2, 2.4 (paired t test p=0.47). The authors observed that infants started crying with corresponding physiological changes as soon as the eyelid speculum was inserted and crying stopped on speculum removal.Conclusion WFDRI and BIO with eyelid speculum are similarly painful for infants. The authors speculate that the eyelid speculum rather than the examination method may contribute most to the pain experienced.

AB - Objective To compare the pain experienced by premature infants undergoing wide-field digital retinal imaging (WFDRI) and binocular indirect ophthalmoscopy (BIO) for retinopathy of prematurity (ROP) screening.Methods Infants were recruited at Edinburgh Royal Infirmary Neonatal Unit, Edinburgh, UK. Eyes were examined by WFDRI and BIO with eyelid speculum by two experienced paediatric ophthalmologists in random order. A pain score (Premature Infant Pain Profile (PIPP)) for WFDRI and BIO was generated.Results A total of 76 infants were recruited. The (mean, SD) PIPP score for WFDRI was 15.0, 2.1 and for BIO was 15.2, 2.4 (paired t test p=0.47). The authors observed that infants started crying with corresponding physiological changes as soon as the eyelid speculum was inserted and crying stopped on speculum removal.Conclusion WFDRI and BIO with eyelid speculum are similarly painful for infants. The authors speculate that the eyelid speculum rather than the examination method may contribute most to the pain experienced.

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M3 - Article

SN - 1359-2998

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SP - F146-F148

JO - Archives of Disease in Childhood. Fetal and Neonatal Edition

JF - Archives of Disease in Childhood. Fetal and Neonatal Edition

IS - 2

ER -

Pain in neonates during screening for retinopathy of prematurity using binocular indirect ophthalmoscopy and wide-field digital retinal imaging: a randomised comparison

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