Short Report
Pain in neonates during screening for retinopathy of prematurity using binocular indirect ophthalmoscopy and wide-field digital retinal imaging: a randomised comparison.
1 University of Edinburgh, United Kingdom;
2 Princess Alexandra Eye Pavilion, Edinburgh, United Kingdom;
3 Department of Child Life and Health, Edinburgh, United Kingdom;
4 Royal Hospital for Sick Children, Edinburgh, United Kingdom
Correspondence to: Catharine Ann Dhaliwal, Centre for Reproductive Biology, University of Edinburgh, Room W1.12,, Queens Medical Research Institute, 47 Little France Crescent, Edinburgh, EH16 4TJ, United Kingdom; cdhaliwa{at}staffmail.ed.ac.uk
Accepted 15 September 2009
Objective: To compare the pain experienced by premature infants undergoing screening for retinopathy of prematurity (ROP) by wide-field digital retinal imaging (WFDRI) and binocular indirect ophthalmoscopy (BIO).
Methods: Infants were recruited at Edinburgh Royal Infirmary Neonatal Unit. Eyes were examined by both WFDRI and BIO with eyelid speculum by two experienced paediatric ophthalmologists in random order. We measured pain using the Premature Infant Pain Profile (PIPP).
Results: We recruited 76 infants. The mean PIPP score was 15.0 for WFDRI and 15.2 for BIO (difference not statistically significant). We 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. We suggest that the eyelid speculum rather than the examination method may contribute most to the pain experienced.
CiteULike 
Complore 
Connotea 
Del.icio.us 
Digg 
Reddit 
Technorati What's this?
eLetters:
Read all eLetters
- Further evidence in support of the eyelid speculum as the cause of distress during screening for ret
- karel allegaert
- Fetal Neonatal Ed. Online, 26 Oct 2009 [Full text]
- Full Text (Rapid PDF)
- Submit a response
- Read responses to this article
- Alert me when this article is cited
- Alert me when eLetters are posted
- Alert me if a correction is posted
Services
- Email this link to a friend
- Similar articles in ADC Online
- Similar articles in PubMed
- Add article to my folders
- Download to citation manager
Google Scholar
PubMed
Bookmark with
Register for free content
The full back archive is now available for all BMJ Journals. Institutional subscribers may access the entire archive as part of their subscription. Personal subscribers will also have access to all content when logged in. Non-subscribers who register have free access to all articles published before 2006 right back to volume 1 issue 1. Register here to access the free archive of all BMJ Journals.
Don't forget to sign up for content alerts so you keep up to date with all the articles as they are published.
