Language

English

Publication Date

1-1-2025

Journal

International Ophthalmology Clinics

DOI

10.1097/IIO.0000000000000593

PMID

39710905

PMCID

PMC12459132

PubMedCentral® Posted Date

9-25-2025

PubMedCentral® Full Text Version

Post-print

Abstract

Baby Detect Project, started in September 2022, aimed to create a newborn screening test using targeted next-generation sequencing for all early-onset, treatable, and serious conditions. The elaborated gene panel covers 405 genes, associated with 165 genetic conditions, and includes RB1, linked to retinoblastoma, the only oncological disease tested for. Germline RB1 mutations concern around 50% of all retinoblastoma cases and 100% of the most severe, bilateral cases. Ninety percent of them occur de novo, which delays the diagnosis by about a year with subsequent loss of vision and sometimes the eye itself. Detecting children with germline RB1 mutation at birth would greatly improve functional and anatomic outcomes, limiting invasive treatments and general anesthesias through early childhood. We discuss herein the novel approach of population screening, the rationale for newborn testing for RB1 mutations, the incidence of expected cases, the reliability of the test and its costs. The next step is to move to a nation-scale population; this initiative marks a landmark in retinoblastoma patients’ care.

Keywords

Humans, Low-Level Light Therapy, Macular Degeneration, Visual Acuity, genomic newborn screening, Retinoblastoma, precision medicine, population health, genomic newborn screening, Retinoblastoma, precision medicine, population health

Published Open-Access

yes

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