Literature DB >> 31124498

Commentary: Retinopathy of prematurity screening made simple - Smartphone-based fundus imaging.

Bhavik Panchal1.   

Abstract

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Year:  2019        PMID: 31124498      PMCID: PMC6552632          DOI: 10.4103/ijo.IJO_842_19

Source DB:  PubMed          Journal:  Indian J Ophthalmol        ISSN: 0301-4738            Impact factor:   1.848


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Retinopathy of prematurity (ROP) continues to remain an important cause of childhood blindness all over the world with a difference in the scenario in the developed and developing countries.[12] Countries such as India and China together account for more than half of the total number of premature infants born, with India alone accounting for 3.5 million preterm infants annually.[3] The incidence of ROP is on the rise, not just in urban but even rural areas. Better facilities in the newborn care have led to reduction in the neonatal mortality rate and increase in the number of at-risk babies. However, the number of ophthalmic personnel required to screen all the at-risk babies is insufficient. In India, programs like KIDROP[4] have helped in reducing the number of ROP-related blindness using wide-field imaging, telemedicine, nonphysician graders, and smart phone reporting. It may not be possible to use an expensive wide-field imaging-based system for all. This is where the role of smartphone-based fundus imaging plays an important role. Lekha et al.[5] in their study have demonstrated that MII RetCam-assisted smartphone-based fundus imaging is a potential alternate imaging tool enabling objective documentation and monitoring of ROP in low-resource settings. Smartphone-based fundus imaging can be used by the pediatricians themselves and an ophthalmologist trained in managing ROP can review the images at a remote location and help achieve near-optimal screening. The other important aspect of the smartphone-based fundus imaging is the relative use of handling and a smaller learning curve. The screening examination can be stressful for both babies and parents; a trust can be developed between the doctor and the parents by involving the parents in the care and photographic evidence can go a long way in achieving it. Smartphone-based fundus imaging could be the way forward not just in screening ROP but other retinal conditions as well.
  4 in total

1.  Retinopathy of prematurity in middle-income countries.

Authors:  C Gilbert; J Rahi; M Eckstein; J O'Sullivan; A Foster
Journal:  Lancet       Date:  1997-07-05       Impact factor: 79.321

2.  Characteristics of infants with severe retinopathy of prematurity in countries with low, moderate, and high levels of development: implications for screening programs.

Authors:  Clare Gilbert; Alistair Fielder; Luz Gordillo; Graham Quinn; Renato Semiglia; Patricia Visintin; Andrea Zin
Journal:  Pediatrics       Date:  2005-04-01       Impact factor: 7.124

3.  MII RetCam assisted smartphone based fundus imaging for retinopathy of prematurity.

Authors:  T Lekha; S Ramesh; Ashish Sharma; G Abinaya
Journal:  Indian J Ophthalmol       Date:  2019-06       Impact factor: 1.848

4.  The KIDROP model of combining strategies for providing retinopathy of prematurity screening in underserved areas in India using wide-field imaging, tele-medicine, non-physician graders and smart phone reporting.

Authors:  Anand Vinekar; Clare Gilbert; Mangat Dogra; Mathew Kurian; Gangadharan Shainesh; Bhujang Shetty; Noel Bauer
Journal:  Indian J Ophthalmol       Date:  2014-01       Impact factor: 1.848

  4 in total

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