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Non-contact retinal imaging compared to indirect ophthalmoscopy for retinopathy of prematurity screening: infant

S Grace Prakalapakorn1, Sandra S Stinnett2, Sharon F Freedman2

  • 1Department of Ophthalmology, Duke University, Durham, NC, USA. grace.prakalapakorn@duke.edu.

Journal of Perinatology : Official Journal of the California Perinatal Association
|July 3, 2018
PubMed

Insights

Non-contact retinal imaging is a safer alternative for retinopathy of prematurity screening in infants. This method resulted in fewer cardiopulmonary events compared to traditional indirect ophthalmoscopy.

Area of Science:

  • Ophthalmology
  • Neonatal Care

Background:

  • Retinopathy of prematurity (ROP) screening is crucial for premature infants.
  • Current ROP screening via indirect ophthalmoscopy can be stressful for infants.

Purpose of the Study:

  • To compare the safety of non-contact retinal camera imaging versus indirect ophthalmoscopy for ROP screening.
  • To evaluate cardiopulmonary events as an indicator of infant stress during ROP screening.

Main Methods:

  • A prospective cohort study involving 99 infants undergoing ROP screening.
  • Comparison of safety events (bradycardia, tachycardia, oxygen desaturation, apnea) between indirect ophthalmoscopy and non-contact retinal imaging.

Main Results:

  • Safety events occurred in 0.8% of imaging sessions versus 5.8% of examinations.
  • Non-contact retinal imaging showed a statistically significant reduction in safety events (p=0.015).

Conclusions:

  • Non-contact retinal camera imaging is a well-tolerated and less stressful alternative for ROP screening.
  • This imaging method offers improved infant safety during ROP examinations.
Abstract

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