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<p>The current standard of care for retinopathy of prematurity (ROP) screening eye examinations, binocular indirect ophthalmoscopy (BIO), is associated with discomfort and stress in infants. In this study, we compared pain scores and vital signs during examination with BIO and non-contact laser speckle contrast imaging (LSCI). Preterm neonates underwent retinal exam with BIO and LSCI during ROP screening. Infant stress was scored using the Neonatal Pain, Agitation, and Sedation Scale (N-PASS), and collected with vital signs, before, during, and after eye examination. Seventy-one infants with gestational ages 22–32 weeks and birthweights 400–1900&#xa0;g underwent 196 BIO examinations and 101 LSCI examinations. N-PASS scores during BIO were significantly higher than LSCI (8.8 vs. 3.7, <i>p</i> &lt; 0.0001). Maximum heart rate was significantly higher during BIO compared to LSCI (182 ± 19 beats per minute vs. 175 ± 20 beats per minute, <i>p</i> = 0.008). Minimum oxygen saturation was significantly lower during BIO compared to LSCI (83 ± 12% vs. 86 ± 10%, <i>p</i> = 0.035). After BIO, vital sign instability remained for 30&#xa0;s, whereas vital signs returned to baseline after LSCI. We found lower pain scores and more stable vital signs during LSCI compared to BIO.</p>

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Comparing infant pain and stress during retinopathy of prematurity screening using ophthalmoscopy and non-contact imaging

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年9月25日

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  • Urjita Das,
  • Euna Cho,
  • Tara Balasubramanian,
  • Jason Zhou,
  • Shaiza Mansoor,
  • Ria Kapoor,
  • He Eun Forbes,
  • Sera Chase,
  • Madi Kore,
  • Danielle Sidelnikov,
  • Daniel Shats,
  • Taylor Kolosky,
  • Claudia Wong,
  • Amaka Onyekaba,
  • Noela Lu,
  • Elizabeth Fernandez Paz,
  • Kristin Williams,
  • Osamah J. Saeedi,
  • Moran R. Levin,
  • Sripriya Sundararajan,
  • Janet Leath Alexander

摘要

The current standard of care for retinopathy of prematurity (ROP) screening eye examinations, binocular indirect ophthalmoscopy (BIO), is associated with discomfort and stress in infants. In this study, we compared pain scores and vital signs during examination with BIO and non-contact laser speckle contrast imaging (LSCI). Preterm neonates underwent retinal exam with BIO and LSCI during ROP screening. Infant stress was scored using the Neonatal Pain, Agitation, and Sedation Scale (N-PASS), and collected with vital signs, before, during, and after eye examination. Seventy-one infants with gestational ages 22–32 weeks and birthweights 400–1900 g underwent 196 BIO examinations and 101 LSCI examinations. N-PASS scores during BIO were significantly higher than LSCI (8.8 vs. 3.7, p < 0.0001). Maximum heart rate was significantly higher during BIO compared to LSCI (182 ± 19 beats per minute vs. 175 ± 20 beats per minute, p = 0.008). Minimum oxygen saturation was significantly lower during BIO compared to LSCI (83 ± 12% vs. 86 ± 10%, p = 0.035). After BIO, vital sign instability remained for 30 s, whereas vital signs returned to baseline after LSCI. We found lower pain scores and more stable vital signs during LSCI compared to BIO.