目的 探讨小儿视网膜检查系统RetCamⅡ在婴儿眼科疾病筛查中的应用价值。方法 收集2012年1—6月接受RetCamⅡ眼底检查婴儿(年龄<1岁)的临床资料，记录出生史（出生体质量和胎龄）、矫正胎龄、性别以及家族疾病史。结果 903名婴儿共1 806眼完成RetCamⅡ检查，890眼（49.28%）存在各种异常，其中眼后段异常为主784眼，眼前节异常为主50眼，全身疾病伴眼部异常26眼，眼球萎缩26眼，外伤4眼。在眼后段异常的784眼中，早产儿视网膜病变（ROP）416眼（53.06%）、家族性渗出性玻璃体视网膜病变(FEVR)132眼（16.84%）和永存胎儿血管症(PFV)90眼（11.48%）；在眼前节异常为主的50眼中，先天性白内障28眼（56.00%）。结论 RetCamⅡ在婴儿眼病筛查中具有重要的诊断价值，可以早期发现各种眼病，尤其是先天性和遗传性眼底疾病。

Objective To investigate the application of RetCam Ⅱ examination in the screening of infantile eye diseases. Methods The clinical data of infants aged less that 1 year undergoing fundus examinations by RetCam Ⅱ between January 2012 and June 2012 were collected, and the birth history (birth weight and gestational age), adjusted gestational age, gender and family history of diseases were recorded. Results A total of 903 infants (1 806 eyes) received RetCam Ⅱ examination, and there were abnormal findings in 890 eyes (49.28%). There were 50 eyes with abnormal anterior segment, 784 eyes with abnormal posterior segment, 26 diseased eyes combined with systematic disease, 26 eyes with phthisis bulbi and 4 eyes with trauma. Among the 784 eyes with abnormal posterior segment, there were 416 eyes (53.06%) with retinopathy of prematurity, 132 eyes (16.84%) with familial exudative vitreoretinopathy and 90 eyes (11.48%) with persistent fetal vasculature. Among the 50 eyes with abnormal anterior segment, those with congenital cataract accounted for 56.00% (28 eyes). Conclusion RetCam Ⅱ plays an important role in the early screening of infantile eye diseases, especially for congenital and hereditary fundus diseases.