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Published on: December 31, 2015
Color fundus imaging in retinopathy of prematurity screening: Present and future
Sushma Jayanna1,2,3, Tapas R Padhi4, E K Nedhina5
1Srimati Kanuri Santhamma Center for Vitreoretinal Diseases, Kallam Anji Reddy Campus, LV Prasad Eye Institute, Hyderabad, Telangana, India.
Insights
Pediatric handheld fundus cameras and smartphone-based devices improve screening for retinopathy of prematurity (ROP). Future technologies promise more accurate imaging for global ROP telescreening protocols.
Area of Science:
- Ophthalmology
- Medical Imaging
- Pediatrics
Background:
- Retinopathy of prematurity (ROP) screening is crucial for premature infants.
- Limited availability of trained specialists hinders effective ROP screening in many regions.
Purpose of the Study:
- To review existing and emerging pediatric fundus imaging technologies for ROP screening.
- To assess the features, benefits, challenges, and effectiveness of these modalities.
- To inform the implementation of telescreening for ROP.
Main Methods:
- Review of current pediatric handheld fundus cameras (e.g., RetCam, 3netra Forus, Phoenix ICON).
- Analysis of smartphone-based fundus photography advancements.
- Exploration of future technologies including ultra-wide field cameras, trans-pars-planar illumination, AI, deep learning, and handheld SS-OCTA.
Main Results:
- Pediatric handheld cameras have enhanced ROP screening accessibility.
- Smartphone-based cameras offer affordable and portable imaging solutions.
- Emerging technologies show potential for improved accuracy and documentation in ROP imaging.
Conclusions:
- Current and future imaging modalities can significantly improve ROP screening efficiency.
- Telescreening protocols utilizing these technologies can be standardized globally.
- Enhanced imaging accessibility can lead to better outcomes for premature infants at risk of ROP.
Abstract:
Advent of pediatric handheld fundus cameras like RetCam, 3netra Forus, and Phoenix ICON pediatric retinal camera has aided in effective screening of retinopathy of prematurity (ROP), especially in countries with limited number of trained specialists. Recent advent of various smartphone-based cameras has made pediatric fundus photography furthermore affordable and portable. Future advances like ultra-wide field fundus cameras, trans-pars-planar illumination pediatric fundus camera, artificial intelligence, deep learning algorithm, and handheld SS-OCTA can help in more accurate imaging and documentation. This article summarizes the features of existing and upcoming imaging modalities in detail, including their features, advantages, challenges, and effectiveness, which can help in implementation of telescreening as a standard screening protocol for ROP across developing as well as developed countries.

