Partnership between research and management in the implementation of a line of care in the State of São Paulo – The ocular screening

Abstract

The Red Reflex Test (RRT), known in Brazil as “Exame do Olhinho”, is a neonatal screening tool for early detection of severe ocular diseases such as congenital cataract, congenital glaucoma, and retinoblastoma. Despite being legally mandatory in São Paulo, structural and organizational barriers hindered its effective implementation. In 2015, six university hospitals in partnership with the State Health Department established the “Care pathway for children with abnormal Red Reflex Test,” funded by PPSUS. The model structured a three-level flow: maternity hospitals, regional re-testing centers, and specialized reference centers. Electronic scheduling through the CROSS system and the 15-day deadline ensured timely diagnosis and treatment. In 2016, Resolution nº 19 institutionalized a statewide protocol for diagnosis, treatment, and follow-up of children with abnormal RRT, requiring mandatory continuity of care across the health system. This initiative strengthened integration among research, management, and care, representing a significant step in preventing childhood blindness in São Paulo.