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June 1951


Author Affiliations

From the Department of Ophthalmology, Hospital of the University of Pennsylvania.

AMA Arch Ophthalmol. 1951;45(6):627-629. doi:10.1001/archopht.1951.01700010640003

A SEARCH of the literature has revealed no detailed description of the normal eyeground in the premature infant. This paper presents observations recorded during the routine examination of premature infants in the nursery of the Hospital of the University of Pennsylvania as part of the program for early recognition and treatment of retrolental fibroplasia. During the past 18 months my colleagues and I examined 200 infants. Certain differences were noted between the fundi of the normal premature infants and the fundi of normal older children. Some of these differences are difficult to distinguish from the earliest changes of retrolental fibroplasia, first described by Owens and Owens.1 A description of our findings seems of some value because of the importance of distinguishing the early changes of retrolental fibroplasia from the normal.

In our experience, normal premature infants may show pallor of the peripheral portion of the fundus, large retinal veins,

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