Screening for Retinopathy of Prematurity Through Utilization a Pediatric Retinal Camera at Jim Pattison Children’s Hospital: A Vision for Improved Care

Karunatilake, Malshi; Daspal, Sibasis; Samedi, Veronica Mugarab; Rubab, Shehla

doi:10.1177/2333794x211039642

Cited by 2 publications

(2 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…[32][33][34] Typical ROP screening needs an experienced ophthalmologist to perform dilated eye examinations through a binocular indirect ophthalmoscope (BIO), which is the standard method. 35 Despite the growing number of preterm infants who require ROP screening, only a limited number of trained ophthalmologists is present, resulting in an enormous workload and delayed surveillance. 14 For instance, the United States has only 1504 ophthalmologists, and only 11% of them can perform ROP screenings, while Canada has only 100 subspecialists responsible for more than 12,150 ROP examinations each year.…”

Section: Screening Of Ropmentioning

confidence: 99%

“…14 For instance, the United States has only 1504 ophthalmologists, and only 11% of them can perform ROP screenings, while Canada has only 100 subspecialists responsible for more than 12,150 ROP examinations each year. 35 Meanwhile, novel screening methods through telemedicinecaptured retinal images and digital retinal photography (DRP) emerged as potential alternatives. After the successful experience with tele-screening programs in LMIC, such as the KIDROP model in India, the recent United Nations Development Program (UNDP) report strongly suggested DRP as a new gold standard tool for ROP screening.…”

Section: Screening Of Ropmentioning

confidence: 99%

See 1 more Smart Citation

Management of retinopathy of prematurity: an updated review

El-Atawi¹,

Alansar²,

Elhalik³

et al. 2022

JPNC

View full text Add to dashboard Cite

Retinopathy of prematurity (ROP), previously named retrolental fibroplasia, is a vascular disease of the premature retina that appeared after the advances in preterm neonatal care, potentially causing irreversible vision loss. The most vital part of ROP management is reducing modifiable risk factors such as blending protocols for oxygen delivery, rigorous infection control, restrictive blood transfusion strategies, and parents' education. Laser remains a highly effective therapeutic modality and the gold standard of care in most ROP cases. On the other hand, Anti-VEGF agents emerged as a potential solution to clinical situations where laser delivery is not feasible, as in poor pupillary dilatation with advanced tunica vasculosa lentis (TVL), vitreous haze, corneal opacification, rubeosis iridis, and vitreous hemorrhage. The current recommendations indicate surgery for ROP stages 4-5. For stage 4, surgical modalities incorporate scleral buckling and lens-sparing vitrectomy (LSV).

show abstract

Section: Screening Of Ropmentioning

confidence: 99%

Section: Screening Of Ropmentioning

confidence: 99%

Management of retinopathy of prematurity: an updated review

El-Atawi¹,

Alansar²,

Elhalik³

et al. 2022

JPNC

View full text Add to dashboard Cite

show abstract

Ultra-Widefield Optical Coherence Tomography Beyond the Ora Serrata in Retinopathy of Prematurity

Roti,

Ni,

Bayhaqi

et al. 2024

JAMA Ophthalmol

View full text Add to dashboard Cite

ImportanceCapturing high-quality images of the entire peripheral retina while minimizing the use of scleral depression could increase the quality of examinations for retinopathy of prematurity (ROP) while reducing neonatal stress.ObjectiveTo evaluate whether an investigational handheld ultra-widefield optical coherence tomography (UWF-OCT) device without scleral depression can be used to document high-quality images of the peripheral retina for use in ROP examinations.Design, Setting, and ParticipantsThis was a prospective, cross-sectional study in the neonatal intensive care unit at a single academic medical center. Study participants were neonates in the neonatal intensive care unit who met standard ROP screening criteria (birth weight ≤1500 g; gestational age ≤30 weeks). Examinations were performed from January 2, 2023, to May 12, 2024. Data analysis was performed in July 2024.ExposureAn investigational, contact-based, 800-kHz, 140° (visual angle) UWF-OCT field-of-view handheld device was used during regular ROP examinations.Main Outcomes and MeasuresImages from each examination were captured using the UWF-OCT device, and the zone, stage, and presence of plus disease were diagnosed. If the UWF-OCT system was unable to capture diagnosis, this was recorded.ResultsA total of 507 examinations were performed on 83 neonates (mean [SD] birth weight, 905.1 [362.5] g; mean [SD] gestational age, 189.5 [19.1] days) with this system. The vascular border and disease was able to be visualized in 100% of cases, including to and beyond zone III. In some cases, images were able to clearly demonstrate the ora serrata and even the ciliary body.Conclusions and RelevanceThe UWF-OCT device was able to be safely used to perform ROP screenings and subsequent evaluations and provided volumetric imaging of the ora serrata and sometimes the ciliary body. The findings suggest that such devices may be associated with reduced technical challenges of capturing the entire peripheral retina in telemedicine programs, may reduce pain and stress for delicate neonates owing to the reduced use of scleral depression, and, with adaptation of the system, could potentially allow for peripheral imaging of the whole retina in older children and adults.

show abstract

Screening for Retinopathy of Prematurity Through Utilization a Pediatric Retinal Camera at Jim Pattison Children’s Hospital: A Vision for Improved Care

Cited by 2 publications

References 23 publications

Management of retinopathy of prematurity: an updated review

Management of retinopathy of prematurity: an updated review

Ultra-Widefield Optical Coherence Tomography Beyond the Ora Serrata in Retinopathy of Prematurity

Contact Info

Product

Resources

About