The purpose of this research study is to gather more information on how eye injury is related to a baby's future development and see if eye function and brain test results can be used, along with current measures, to better diagnose and treat babies with hypoxic-ischemic encephalopathy (HIE). Participants will undergo up to two eye exam sessions, involving both Visual Evoked Potential (VEP) and Electroretinogram (ERG) exams.
Specific Aims/Study Objectives: In this proposed longitudinal study, the investigators hypothesize that the early visual function findings will correlate with the neurodevelopmental and neuroimaging outcomes in children who sustain HIE. The investigators will test this hypothesis through the following specific aims: * Specific Aim 1 will determine the correlation of the ERG results as a measure of the retinal function obtained at around birth, 3, 9, 18 or 30 months of life and neurodevelopmental-neuroimaging outcomes from birth through 36 months. * Specific Aim 2 will determine the correlation of the VEP as a measure of the visual cortical function obtained at around birth, 3, 9, 18 or 30 months of life and neurodevelopmental-neuroimaging outcomes from birth through 36 months. * Specific Aim 3 will collect ERG and VEP results from well babies in the Newborn Nursery and compare results to neonates with HIE. * Specific Aim 4 will determine if machine learning will predict the clinical outcomes using VEP, ERG, and EEG waveform data, as well as MR imaging files (exploratory) As health care providers, the investigators' goal is to develop a noninvasive and novel quantitative tool to improve the neurodevelopmental outcome of neonates and to support them in attaining maximum functional potential in childhood and beyond.
Study Type
OBSERVATIONAL
Enrollment
125
Small gold-cup electrodes will be placed on the participant's head using a small dot of adhesive paste. The handheld device is then connected to the electrodes, and the participant's eyes are exposed to a light flicker. Each eye will be tested separately, and while testing one eye, the other eye may be patched.
Skin electrodes will be placed under each eye. Eyes will then be exposed to a flashing light. Each eye will be tested separately and while testing one eye, the other eye may be patched.
University of Wisconsin
Madison, Wisconsin, United States
RECRUITINGTo evaluate the correlation between retinal function and neurodevelopmental outcomes
The least absolute shrinkage and selection operator technique will be utilized to determine whether ERG measures predict neurodevelopmental outcomes
Time frame: Through 30 months of life
To evaluate the correlation between retinal function and neuroimaging outcomes
The least absolute shrinkage and selection operator technique will be utilized to determine whether ERG measures predict neuroimaging outcomes
Time frame: Within first 5 days of life
To evaluate the correlation between visual cortical function and neurodevelopmental outcomes
The least absolute shrinkage and selection operator technique will be utilized to determine whether VEP measures predict neurodevelopmental outcomes
Time frame: Through 30 months of life
To evaluate the correlation between visual cortical function and neuroimaging outcomes
The least absolute shrinkage and selection operator technique will be utilized to determine whether VEP measures predict neuroimaging outcomes
Time frame: Within first 5 days of life
Compare ERG results between healthy babies and babies with HIE
The ERG results from healthy babies will be compared to those of babies with HIE
Time frame: Within first 5 days of life
Report Shape of the VEP results for healthy babies and babies with HIE
The shape of the waveform will be reported as a categorical variable: sharp, slanted, blunt, or multiple peaks
Time frame: Within first 5 days of life
Compare Amplitude of the VEP results between healthy babies and babies with HIE
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The amplitude will be reported as differences in microvolt responses between groups.
Time frame: Within first 5 days of life
Compare Latency of the VEP results between healthy babies and babies with HIE
The latency will be reported as differences in timing (measured in milliseconds) between groups.
Time frame: Within first 5 days of life
Compare Transocular Shape, Amplitude, and Latency Difference of the VEP results between healthy babies and babies with HIE
The Transocular Shape Difference will be reported as differences in shape between the two eyes compared across groups, reported as a categorical variable: sharp, slanted, blunt, or multiple peaks.
Time frame: Within first 5 days of life