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Imaging in Retinopathy of Prematurity

N Valikodath1, E Cole, M F Chiang

  • 1From the Department of Ophthalmology and Visual Sciences, Illinois Eye and Ear Infirmary, University of Illinois at Chicago, Chicago, IL, United States; and Department of Ophthalmology, Casey Eye Institute, Oregon Health & Science University, Portland, OR, United States.

Asia-Pacific Journal of Ophthalmology (Philadelphia, Pa.)
|May 1, 2019
PubMed

Insights

Digital retinal imaging offers a reliable and cost-effective solution for screening retinopathy of prematurity (ROP), a major cause of childhood blindness. This technology improves access to care and training for healthcare providers, enhancing ROP management globally.

Area of Science:

  • Ophthalmology
  • Medical Technology
  • Public Health

Background:

  • Retinopathy of prematurity (ROP) is a primary cause of preventable childhood blindness globally.
  • Challenges in ROP care include limited access, insufficient trained physicians, and inadequate objective documentation.
  • Digital retinal imaging presents a promising solution to overcome these barriers.

Purpose of the Study:

  • To explore the role of digital retinal imaging in addressing barriers to ROP screening and management.
  • To highlight technological advancements in retinal imaging for ROP assessment.
  • To evaluate the effectiveness of telemedicine and tele-education in ROP care.

Main Methods:

  • Utilized advancements in non-mydriatic and mydriatic retinal cameras with expanded fields of view.
  • Incorporated integrated devices for fluorescein angiography, optical coherence tomography (OCT), and OCT angiography.
  • Employed smartphone and computer-based software for image analysis in ROP.
  • Leveraged telemedicine programs for remote ROP screening and tele-education.

Main Results:

  • Digital retinal imaging demonstrated reliability, accuracy, and cost-effectiveness in ROP screening via telemedicine.
  • Technological advancements enable comprehensive imaging, including angiography and OCT.
  • Tele-education programs effectively increase the number of healthcare providers trained in ROP.

Conclusions:

  • Digital retinal imaging is a valuable tool for improving ROP screening accessibility and management.
  • Technological innovations enhance diagnostic capabilities and knowledge of ROP pathophysiology.
  • Telemedicine and tele-education, supported by digital imaging, are crucial for expanding ROP care globally.

Keywords:
imagingretinopathy of prematuritytelemedicine

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