Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2016 Aug 17:8:147-151.
doi: 10.2147/EB.S94440. eCollection 2016.

Screening and treatments using telemedicine in retinopathy of prematurity

Aristomenis Thanos  1 , Yoshihiro Yonekawa  1   2 , Bozho Todorich  1 , Darius M Moshfeghi  3 , Michael T Trese  1
Affiliations
Review

Screening and treatments using telemedicine in retinopathy of prematurity

Aristomenis Thanos et al. Eye Brain. .

Abstract

Several studies have validated the role of telemedicine as a new powerful screening and diagnostic tool for retinal disorders, such as diabetic retinopathy and retinopathy of prematurity. With regard to retinopathy of prematurity, bedside examination with binocular indirect ophthalmoscopy has been the gold standard technique for screening, yet with several limitations. Herein, we review the current evidence that supports the role of telemedicine for the screening of infants with retinopathy of prematurity.

Keywords: retinopathy of prematurity; screening; telemedicine.

PubMed Disclaimer

Conflict of interest statement

Disclosure AT, BT, and YY have no financial or proprietary interest in the materials presented herein. MTT is founder and equity partner of Focus ROP, partner in Pediatric Wide Angle Camera LLC, and licensed ROP Tool. DMM is director of telemedicine at Byers Eye Institute and has equity in Visunex Medical Systems. The authors report no other conflicts of interest in this work.

Figures

Figure 1
Figure 1
Computer screenshot of the interface of a telemedicine software. Notes: A standard set of six photos is captured (external photo, posterior pole centered around the nerve, temporal, nasal, inferior, and superior). The software is capable of generating a montage of the acquired images. Abbreviations: PMA, post-menstrual age; Cest, gestational age; SUP, superior; EXT, external; TEMP, temporal; POST, posterior pole; NAS, nasal; INF, inferior; Indet, indeterminate; S1, Stage 1; S2, Stage 2; S3 Flat, Stage 3 with flat neovascularization; S4/S5, Stage 4/Stage5.
Figure 2
Figure 2
Computerized Zone 1 determination. Notes: (A) Computerized software determination of Zone 1 in retinopathy of prematurity (ROP) (yellow circle). Notice the image processing capabilities (change brightness, contrast, and color saturation), which can aid in the modification of the original photo to allow a more accurate review. (B) Fundus image of the left eye of an infant with a heavily pigmented fundus obtained with a wide-field contact fundus camera (RetCam; Clarity Medical Systems, Pleasanton, CA, USA) and type 1 ROP requiring laser treatment. Media opacity is due to vitreous hemorrhage, which renders the retinal vessels difficult to discern.
See this image and copyright information in PMC

References

    1. Fierson WM, American Academy of Pediatrics Section on Ophthalmology, American Academy of Ophthalmology, American Association for Pediatric Ophthalmology and Strabismus, American Association of Certified Orthoptists Screening examination of premature infants for retinopathy of prematurity. Pediatrics. 2013;131(1):189–195. - PubMed
    1. Rush R, Rush S, Nicolau J, Chapman K, Naqvi M. Systemic manifestations in response to mydriasis and physical examination during screening for retinopathy of prematurity. Retina. 2004;24(2):242. - PubMed
    1. Laws DE, Morton C, Weindling M, Clark D. Systemic effects of screening for retinopathy of prematurity. Br J Ophthalmol. 1996;80(5):425–428. - PMC - PubMed
    1. An international classification of retinopathy of prematurity. The Committee for the Classification of Retinopathy of Prematurity. Arch Ophthalmol. 1984;102(8):1130–1134. - PubMed
    1. Paul Chan RV, Williams SL, Yonekawa Y, Weissgold DJ, Lee TC, Chiang MF. Accuracy of retinopathy of prematurity diagnosis by retinal fellows. Retina (Philadelphia, Pa) 2010;30(6):958–965. - PMC - PubMed

LinkOut - more resources