Implementation of RetCam Screening in a Large Tertiary Center

Area of Science:

• Ophthalmology
• Neonatology
• Medical Technology

Background:

• Retinopathy of prematurity (ROP) is a major cause of preventable childhood blindness in preterm infants.
• Early detection and treatment of ROP are crucial for preventing severe vision loss.
• Telemedicine and digital retinal imaging offer solutions for ROP screening, especially with workforce shortages.

Purpose of the Study:

• To describe the successful implementation of a RetCam® screening program for ROP in a large tertiary academic neonatal intensive care unit (NICU).
• To evaluate the operational aspects, challenges, and benefits of using RetCam® for ROP screening in a real-world clinical setting.

Main Methods:

• A RetCam® ROP screening program was established and operated over a 21-month period.
• 887 retinal examinations were performed on preterm infants in the NICU.
• The program focused on documenting digital images, tracking disease progression, and enabling timely interventions.

Main Results:

• The RetCam® screening program was successfully implemented, facilitating 887 exams.
• The program allowed for improved documentation, understanding of disease progression, and earlier intervention for ROP.
• This technological approach supported the care of high-risk preterm infants.

Conclusions:

• RetCam® screening is an effective tool for ROP detection and management in academic NICU settings.
• The utilization of technology in ROP screening enhances patient care and outcomes for preterm infants.
• Successful implementation requires addressing operational challenges and leveraging gained knowledge.