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FAQ Medical

Answers to FAQ

FAQ Medical

What is the Pr3vent newborn vision screening test?

An advanced eye screening test for newborn babies. The Red Reflex Test is the current AAP standard of care for newborn vision screening. The Pr3vent screen is a more comprehensive option.
By using technology previously used in premature infants for the screening of Retinopathy of Prematurity, we can visualize a significantly greater percentage of the newborn retina. This allows us to detect vision threatening problems early on, so that early intervention can save vision.
At this time, there is both prenatal and postnatal testing to ensure that a baby will have the best possible health outcome, and these screens are standard care. We offer a better vision screen that is both more comprehensive and precise to detect vision problems.


Benefits
Comprehensive eye screening allows for early detection of ocular findings or systemic concerns which allows for early intervention and treatment.
Access to highly trained pediatric retinal specialist graders
Parental reassurance of comprehensive screening.


Risks

Babies are only eligible for the screen if they are > 37 weeks, stable, etc.
Pediatricians will clear the baby prior to the screening.
The risks are low, and there is over 25 years of safety demonstrated in the premature population.
Dilating eye drops are required. There have been some medication side effects documented with the premature infant population post screening. These include episodes of apnea and bradycardia in the premature population, and some transient feeding intolerance. This is not notable in the full term population. (add reference)
The camera touches the ocular surface. There have been no documented adverse effects related to this screening process in over 330,000 babies screened thus far. (add reference footnote)
There is no evidence of Infection, trauma, or….

How much does it cost? Is it covered by Insurance and if not,
The total cost is $300. At this time, the screen is offered as a fee-for- service and is not covered by insurance.

Abnormal result?
Studies have alluded to a 5% referral warranted result. Recommendation will be made for comprehensive pediatric ophthalmology or retinal specialist evaluation. From which a formal diagnosis additional testing or treatment recommendations can be made.
Early diagnosis allows for early intervention for vision threatening or systemic disease.

How does the Pr3vent program relate to Precision medicine and genomics?
Comprehensive retinal screening can detect ocular findings of systemic or genetic disease. If the Pr3vent screen is indicative of a genetic related problem, this may prompt Genetic evaluation and a potential for early treatment.

How is care coordinated with Nursing and other Providers and team members on the floor?
Work closely with postpartum clinicians to minimize interruptions and avoid delay of discharges
How is care coordinated with Primary Care Physicians?
Pr3vent is committed to care coordination and will keep you informed of the screening result. If a baby requires a referral for comprehensive evaluation, we will contact you with recommendations for next steps.

How is care coordinated with Primary Care Physicians?
Pr3vent is committed to care coordination and will keep you informed of the screening result. If a baby requires a referral for comprehensive evaluation, we will contact you with recommendations for next steps.

Who will be performing the screens?
The screening will be performed by a board certified Neonatal Nurse practitioner with over 25 years of experience in Neonatal Care. Going forward, we envision utilizing Registered Nurses that have been extensively trained in pediatric Retinal Photography.

Protocol?
Our protocol is similar to retinal exams of qualifying premature infants to screen for ROP. It consists of mydriatic eye medications, numbing drops and taking 5-6 wide angle photos per eye. Time?

Who orders the test?
If the parents have elected the Pr3vent vision screen, the test will be ordered via the infants admitting physician/primary care doctor. This is a similar scenario to cord blood banking.

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