Salcone Erin M, Johnston Suzanne, VanderVeen Deborah
Department of Ophthalmology, Children's Hospital Boston, MA, USA.
Semin Ophthalmol. 2010 Sep-Nov;25(5-6):214-7. doi: 10.3109/08820538.2010.523671.
Retinopathy of prematurity (ROP) is a vision-threatening vasoproliferative condition of premature infants worldwide. As survival rates of younger and smaller infants improve, more babies are at risk for the development of ROP and blindness. Meanwhile, fewer ophthalmologists are available for bedside indirect ophthalmoscopy screening examinations. Remote digital imaging is a promising method with which to identify those infants with treatment-requiring or referral-warranted ROP quickly and accurately, and may help circumvent issues regarding the limited availability of ROP screening providers. The Retcam imaging system is the most common system for fundus photography, with which high-quality photographs can be obtained by trained non-physician personnel and evaluated by a remote expert. It has been shown to have high reliability and accuracy in detecting referral-warranted ROP, particularly at later postmenstrual ages. Additionally, the method is generally well received by parents and is highly cost-effective.
早产儿视网膜病变（ROP）是一种在全球范围内威胁早产儿视力的血管增生性疾病。随着更小孕周和更低体重的婴儿存活率提高，越来越多的婴儿有发生ROP和失明的风险。与此同时，能够进行床边间接检眼镜筛查检查的眼科医生越来越少。远程数字成像技术是一种很有前景的方法，可快速、准确地识别那些需要治疗或转诊的ROP婴儿，并可能有助于解决ROP筛查人员有限的问题。Retcam成像系统是最常用的眼底照相系统，经过培训的非医师人员可以使用该系统获取高质量的照片，并由远程专家进行评估。研究表明，该系统在检测需要转诊的ROP方面具有很高的可靠性和准确性，尤其是在孕龄较大时。此外，该方法普遍受到家长的欢迎，且具有很高的成本效益。
