Efficacy of wide-field digital retinal imaging for retinopathy of prematurity screening.
نویسندگان
چکیده
BACKGROUND To evaluate the efficacy of wide-field digital retinal imaging for retinopathy of prematurity screening. DESIGN Retrospective study in a quaternary public neonatal intensive care unit. PARTICIPANTS A total of 108 premature infants screened for retinopathy of prematurity. METHODS Retrospective chart and photo review were performed on participants screened by both serial wide-field digital retinal imaging and concurrent binocular indirect ophthalmoscopy. Review of captured digital photos was performed independently by a masked reader. Using the binocular indirect ophthalmoscopy findings as the gold standard, the efficacy of wide-field digital retinal imaging in detecting treatment-requiring retinopathy of prematurity, defined as type 1 prethreshold disease, was determined. MAIN OUTCOME MEASURES Sensitivity and specificity of wide-field digital retinal imaging in detecting treatment-requiring retinopathy of prematurity. RESULTS Treatment-requiring retinopathy of prematurity was detected in 11 infants by both binocular indirect ophthalmoscopy examination and telemedicine images taken at the same visit. Wide-field digital retinal imaging has a sensitivity of 100% (95% CI: 76.2-100%) and a specificity of 97.9% (95% CI: 93.4-99.7%) in detecting infants with treatment-requiring retinopathy of prematurity. Positive and negative predictive values of wide-field digital retinal imaging were 84.6% (95% CI: 57.8-97.3%) and 100% (95% CI: 96.9-100%), respectively. CONCLUSIONS Wide-field digital retinal imaging is accurate, reliable and efficient in detecting treatment-requiring retinopathy of prematurity. Incorporating wide-field digital retinal imaging with telemedicine in standard retinopathy of prematurity management can potentially improve delivery, accessibility, quality and cost of retinopathy of prematurity care.
منابع مشابه
Wide-field digital retinal imaging for retinopathy of prematurity screening in Australasia: a survey of practicing ophthalmologists.
PURPOSE To compare retinopathy of prematurity (ROP) screening experiences using binocular indirect ophthalmoscopy (BIO) and wide-field digital retinal imaging (WFDRI) at centers in Auckland, New Zealand, with those of other centers in Australasia. METHODS A web-based survey regarding methods of screening for ROP was distributed to ophthalmologists in Australia and New Zealand. RESULTS Thirt...
متن کاملRetinopathy of Prematurity Profile and Trend Over the Years: Experience From a Two tier City in Eastern India.
The Retinopathy of Prematurity (ROP) epidemic is no more confined to metro cities and has spread to interior states including Eastern India. There is hardly any published data available on the subject, including the incidence and profile of babies with ROP, screening experience with binocular indirect ophthalmoscope and wide-field digital retinal imaging, as well as the difficulties faced with ...
متن کاملPain and stress assessment after retinopathy of prematurity screening examination: Indirect ophthalmoscopy versus digital retinal imaging
BACKGROUND Increasingly, neonatal clinics seek to minimize painful experiences and stress for premature infants. Fundoscopy performed with a binocular indirect ophthalmoscope is the reference examination technique for screening of retinopathy of prematurity (ROP), and it is associated with pain and stress. Wide-field digital retinal imaging is a recent technique that should be evaluated for min...
متن کاملRetinopathy of prematurity: An update on screening and management.
Retinopathy of prematurity is a proliferative disorder of the developing retinal blood vessels in preterm infants. The present practice point reviews new information regarding screening and management for retinopathy of prematurity, including the role of risk factors in screening, optimal scheduling for screening examinations, pain management, digital retinal photography and antivascular endoth...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- Clinical & experimental ophthalmology
دوره 39 1 شماره
صفحات -
تاریخ انتشار 2011