Pilot study of the systemic effects of three different screening methods used for retinopathy of prematurity

Mehta, Manisha; Adams, Gillian; Bunce, Catey; Xing, Wen; Hill, Mercy

doi:10.1016/j.earlhumdev.2004.09.005

Cited by 58 publications

(59 citation statements)

References 11 publications

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“…30 Retinal hemorrhages have been reported from ocular manipulation and dilating eye drops can have adverse systemic effects. 31 Most worrisome is the increase in apneic events that occur in the 24-to 48-hour postexamination period. 30,31 In addition, there is a shortage of ophthalmologists willing to perform ROP examinations secondary to limited reimbursement, time constraints, and liability risks.…”

Section: Discussionmentioning

confidence: 99%

“…31 Most worrisome is the increase in apneic events that occur in the 24-to 48-hour postexamination period. 30,31 In addition, there is a shortage of ophthalmologists willing to perform ROP examinations secondary to limited reimbursement, time constraints, and liability risks. 32 Thus, an ROP screening tool, such as one based on HSA21 gene expression profile, could limit the need for ophthalmic assessment, thereby conserving resources and preventing exposure to harm.…”

Section: Discussionmentioning

confidence: 99%

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Trisomy 21 and Risk of Retinopathy of Prematurity

Movsas¹,

Spitzer

Gewolb

2015

Pediatrics

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Trisomy 21 and Risk of Retinopathy of Prematurity

Movsas¹,

Spitzer

Gewolb

2015

Pediatrics

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“…There is no evidence to suggest that TM examination is harmful to the infant or more stressful than BIO. 35 Some evidence suggests that it may be less stressful, 36 but BIO frequently produces bradycardia and other cardiovascular changes, and contact photography may do the same.…”

Section: B Infant Monitoringmentioning

confidence: 99%

Telemedicine for Evaluation of Retinopathy of Prematurity

Fierson¹,

Capone²,

Granet³

et al. 2015

Pediatrics

141

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Retinopathy of prematurity (ROP) remains a significant threat to vision for extremely premature infants despite the availability of therapeutic modalities capable, in most cases, of managing this disorder. It has been shown in many controlled trials that application of therapies at the appropriate time is essential to successful outcomes in premature infants affected by ROP. Bedside binocular indirect ophthalmoscopy has been the standard technique for diagnosis and monitoring of ROP in these patients. However, implementation of routine use of this screening method for at-risk premature infants has presented challenges within our existing care systems, including relative local scarcity of qualified ophthalmologist examiners in some locations and the remote location of some NICUs. Modern technology, including the development of wide-angle ocular digital fundus photography, coupled with the ability to send digital images electronically to remote locations, has led to the development of telemedicine-based remote digital fundus imaging (RDFI-TM) evaluation techniques. These techniques have the potential to allow the diagnosis and monitoring of ROP to occur in lieu of the necessity for some repeated on-site examinations in NICUs. This report reviews the currently available literature on RDFI-TM evaluations for ROP and outlines pertinent practical and risk management considerations that should be used when including RDFI-TM in any new or existing ROP care structure.

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“…8 Data from two telemedicine screening programs for retinopathy of prematurity 5,6 suggest the need for repeat imaging, particularly in younger infants. 5 Because each screening examination may have associated systemic and ocular morbidities (e.g., changes in blood pressure, desaturation episodes and retinal hemorrhage), 9 eliminating unnecessary imaging sessions is important for the safety of these fragile infants. The real-time video connection provides opportunities for continuing education and supervision of personnel performing the screening examinations at the remote unit to obtain imaging of optimal quality while maintaining patient safety.…”

Section: Key Pointsmentioning

confidence: 99%