Impact of Retinopathy of Prematurity Screening Examination on Cardiorespiratory IndicesA Comparison of Indirect Ophthalmoscopy and Retcam Imaging

SUNDROP: six years of screening for retinopathy of prematurity with telemedicine

“…Throughout the past decade, the sensitivity and specificity of digital screening technologies have improved, with recent studies indicating comparable outcomes between telemedicine-based retinal image photography and screening via indirect ophthalmoscopy. [12][13][14][15] Moreover, by mediating online consultation and providing data for retrospective analysis as part of the electronic health record, digital imaging devices such as the RetCam (Clarity Medical Systems, Pleasanton, Calif.) may offer more objective information for ROP detection and historical comparison, thus paving the way for better care. 16 Other potential benefits of remote telemedicine screening include decreased cost of travel, reduced stress from bedside examinations of at-risk infants, and an extension of ROP diagnostic expertise into underserved regions on both a national and an international level.…”

“…16 Other potential benefits of remote telemedicine screening include decreased cost of travel, reduced stress from bedside examinations of at-risk infants, and an extension of ROP diagnostic expertise into underserved regions on both a national and an international level. 14,16,17 The Stanford University Network for Diagnosis of Retinopathy of Prematurity (SUNDROP) is an ongoing telemedicine-based community initiative for in-hospital screening of high-risk infants for treatment-warranted ROP (TW-ROP) at 6 satellite neonatal intensive care units (NICUs) situated throughout Northern California. The goal of the SUNDROP initiative is to reduce blindness and poor visual outcomes from ROP by providing infants in rural and county hospitals with quaternary care.…”

Non-contact ultra-widefield imaging of retinopathy of prematurity using the Optos dual wavelength scanning laser ophthalmoscope

“…Retcam assessment takes significantly longer than indirect ophthalmoscopy in experienced hands. 7 Our experience is that Retcam is especially difficult to use in older babies because of excessive head movement. Case 2, who was 70 weeks PNA, underwent NC-UWFI with little difficulty.…”

Relationship between feeding schedules and gastric distress during retinopathy of prematurity screening eye examinations

“…[7][8][9] Neonatal pain management is an important area of investigation 5 for ethical reasons and because neonatal pain may result in neonates developing increased pain sensitivity over time, [10][11][12] altered responses to pain later in life, 13 and possible short-and long-term changes in neural development as suggested by animal studies on brain and spinal cord development. 14,15 In an effort to better quantify and research neonatal pain, several neonatal pain scales have been developed, 5,16,17 and interventions to reduce pain associated with neonatal examinations and procedures have been investigated.…”