Kandasamy Yogavijayan, Smith Roger, Wright Ian, Hartley Leo
Department of Neonatology, The Townsville Hospital, Douglas, Queensland, Australia.
J Paediatr Child Health. 2013 Jan;49(1):E1-5. doi: 10.1111/j.1440-1754.2012.02557.x. Epub 2012 Sep 13.
The frequency of premature births is increasing world-wide. This factor, combined with improved survival and revised screening criteria, is resulting in an increased workload in screening for retinopathy of prematurity. Digital retinal imaging is emerging as an important alternative tool for diagnosing retinopathy of prematurity, and its use has even been extended to developing countries. Neonatal nurses and technicians can be trained to use digital imaging devices effectively. This is important in areas that do not have ready access to paediatric ophthalmologists. The ability to transfer images electronically makes it a valuable tool in telemedicine, while the ability to store and retrieve images is also advantageous from a medico-legal perspective. Image analysis software can further improve the accuracy of diagnosis. The main limitation of this technology is its high capital cost.
全球早产的发生率正在上升。这一因素，再加上存活率的提高和筛查标准的修订，导致早产儿视网膜病变筛查的工作量增加。数字视网膜成像正成为诊断早产儿视网膜病变的一种重要替代工具，其应用甚至已扩展到发展中国家。新生儿护士和技术人员可以接受培训，以有效地使用数字成像设备。在那些无法随时获得儿科眼科医生服务的地区，这一点很重要。电子传输图像的能力使其成为远程医疗中的一种有价值的工具，而从医疗法律角度来看，存储和检索图像的能力也具有优势。图像分析软件可以进一步提高诊断的准确性。这项技术的主要局限性在于其高昂的资金成本。
