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早产儿视网膜病变婴儿的门诊广域数字成像

Outpatient, Wide-Field, Digital Imaging of Infants With Retinopathy of Prematurity.

作者信息

Arnold Robert W, Grendahl Robin L, Kevin Winkle R, Jacob Jack

出版信息

Ophthalmic Surg Lasers Imaging Retina. 2017 Jun 1;48(6):494-497. doi: 10.3928/23258160-20170601-08.

Abstract

Eight infants were closely monitored for retinopathy of prematurity (ROP) while in the neonatal intensive care unit (NICU); two required laser therapy. After discharge from the NICU, they had outpatient examination with dilated, scleral depressed ROP staging, and each had digital widefield retinal imaging (Optos, Dunfermline, United Kingdom) without lid speculum, or with lid speculum if not cooperative. Images were shared remotely using ROP-Check software (Glacier Medical Software, Anchorage, AK), from which ophthalmologists made clinical impressions. The images did not afford clear view of maturity to the ora serrata; however, posterior zone 3 was viewed, and confirmation that each eye did not need therapy was consistent. Outpatient wide-field retinal imaging may help facilitate telemedicine for ROP. [Ophthalmic Surg Lasers Imaging Retina. 2017;48:494-497.].

摘要

八名婴儿在新生儿重症监护病房(NICU)期间接受了早产儿视网膜病变(ROP)的密切监测;两名婴儿需要激光治疗。从NICU出院后,他们接受了散瞳、巩膜压迫下的ROP分期门诊检查,并且每个人都进行了无眼睑撑开器的数字广角视网膜成像(Optos,英国邓弗姆林),如果不配合则使用眼睑撑开器。图像通过ROP-Check软件(Glacier Medical Software,阿拉斯加安克雷奇)进行远程共享,眼科医生据此做出临床判断。这些图像无法清晰显示锯齿缘的成熟情况;然而,可以观察到后3区,并且确认每只眼睛都不需要治疗,结果是一致的。门诊广角视网膜成像可能有助于促进ROP的远程医疗。[《眼科手术、激光与视网膜成像》。2017年;48:494 - 497。]

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