Outpatient, Wide-Field, Digital Imaging of Infants With Retinopathy of Prematurity

Eight infants were closely monitored for retinopathy of prematurity (ROP) while in the neonatal intensive care unit (NICU); two required laser therapy. After discharge from the NICU, they had outpatient examination with dilated, scleral depressed ROP staging, and each had digital widefield retinal imaging (Optos, Dunfermline, United Kingdom) without lid speculum, or with lid speculum if not cooperative. Images were shared remotely using ROP-Check software (Glacier Medical Software, Anchorage, AK), from which ophthalmologists made clinical impressions. The images did not afford clear view of maturity to the ora serrata; however, posterior zone 3 was viewed, and confirmation that each eye did not need therapy was consistent. Outpatient wide-field retinal imaging may help facilitate telemedicine for ROP. [Ophthalmic Surg Lasers Imaging Retina. 2017;48:494-497.].