方法：回顾总结我院2012-01-01/12-31采用RetCamⅡ广域视网膜成像系统检查的2 836例新生儿眼底病变的情况。其中早产儿1 625例(57.30%)，第一次检查时间为出生后1～4wk，矫正胎龄32～40wk。足月儿1 211例(42.70%)。第一次检查时间为生后4wk内。

结果：筛查出454例眼底异常，其中早产儿视网膜病变(ROP)207例(占早产儿比例12.74%)，包括ROP Ⅰ期118例(57%)，ROP Ⅱ期58例(28.02%)， ROP Ⅲ期23例(11.11%)，ROP Ⅳ期8例(3.86%)，ROP V期0例； 足月新生儿眼底病变247例(占足月儿比例20.40%)，其中发育性、遗传性疾病68例，占27.53%； 视网膜母细胞瘤1例，占0.40%； 视网膜出血102例，占41.30%； 视网膜渗出68例，占27.53%； 视神经萎缩5例，占2.02%； 视盘水肿3例，占1.21%。

结论：新生儿眼底病变多样且危害严重，应重视早期筛查，早产儿及伴有高危因素的足月儿应该是眼底筛查的重点人群，使用RetCamⅡ数字视网膜照相机进行新生儿眼底病变检查是安全有效的手段。

METHODS: Fundus information of 2 836 neonates performed by RetCamⅡ in our hospital from January 1, 2012 to December 31, 2012 were retrospectively analyzed, including 1 625 cases(57.30%)of premature infants which were first examined 1-4 weeks after birth and 1 211 cases(42.70%)of term infants which were first examined within 4 weeks after birth.

RESULTS: Totally 454 cases of abnormalfundus were found, including 207 cases(12.74%)of retinopathy of prematurity(ROP), ROPⅠ in 118 cases(57%), ROPⅡ in 58 cases(28.02%), ROPⅢ in 23 cases(11.11%), ROPⅣ in 8 cases(3.86%), no case of ROPV. A total of 247(20.40%)term infants had abnormal fundus, of which 68 cases(27.53%)were developmental or hereditary disease, retinoblastoma in 1 case(0.40%), retinal hemorrhage in 102 cases(41.30%), retinal exudative changes in 68 cases(27.53%), optic atrophy in 5 cases(2.02%)and optic disc edema in 3 cases(1.21%).

CONCLUSION: Neonatal fundus diseases were so various and harmful that early screening should be attended to. Premature infants and term infants with high risk are treated as focus group of fundus screening and RetCamII examination is safe and effective.