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.

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