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Telemedicine for ROP.

Parag K Shah1, Appanraj Ramya1, Venkatapathy Narendran1

  • 1Aravind Eye Hospital and Postgraduate Institute of Ophthalmology, Coimbatore, Tamil Nadu, India.

Asia-Pacific Journal of Ophthalmology (Philadelphia, Pa.)
|February 7, 2018
PubMed
Summary

Rising retinopathy of prematurity (ROP) in preterm infants necessitates new screening strategies. Telemedicine, using digital imaging and automated diagnosis, offers a solution to reduce ophthalmologist workload for ROP detection.

Keywords:
ROPtelemedicinetelescreening

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Area of Science:

  • Ophthalmology
  • Neonatology
  • Medical Technology

Background:

  • Increasing survival rates of preterm infants in the Asia-Pacific region have led to a rise in retinopathy of prematurity (ROP) incidence.
  • A significant shortage of trained ophthalmologists poses a challenge for timely ROP screening and diagnosis.

Purpose of the Study:

  • To review current strategies for screening retinopathy of prematurity (ROP).
  • To explore the potential of telemedicine in reducing the burden on ophthalmologists for ROP screening.
  • To examine advancements in digital imaging, telescreening programs, and automated ROP diagnosis.

Main Methods:

  • Review of existing literature on digital imaging versus indirect ophthalmoscopy for ROP detection.
  • Analysis of current global ROP telescreening programs.
  • Examination of studies focused on automated diagnosis of retinopathy of prematurity.

Main Results:

  • Initial studies show promise in comparing digital imaging with traditional indirect ophthalmoscopy for ROP screening.
  • Active ROP telescreening programs worldwide are demonstrating the feasibility of remote diagnosis.
  • Emerging research in automated ROP diagnosis indicates potential for increased efficiency and accuracy.

Conclusions:

  • Telemedicine, incorporating digital imaging and automated analysis, presents a viable solution to address the growing challenge of ROP screening.
  • These technological advancements can help mitigate the shortage of ophthalmologists and improve access to care for preterm infants.
  • Further development and implementation of telescreening and automated diagnostic tools are crucial for managing retinopathy of prematurity.