Department of Ophthalmology, Duke University, Durham, NC, USA.
Cape Fear Eye Associates, Fayetteville, NC, USA.
J Perinatol. 2018 Sep;38(9):1266-1269. doi: 10.1038/s41372-018-0160-5. Epub 2018 Jul 2.
Most retinopathy of prematurity screening involves an ophthalmologist performing indirect ophthalmoscopy, which can be stressful to infants. The purpose of this study is to evaluate the safety profile (using cardiopulmonary events as an indicator) of imaging infants with a non-contact retinal camera compared to examining them using indirect ophthalmoscopy.
Prospective cohort study of 99 infants at a community hospital who were examined using indirect ophthalmoscopy and imaged using a non-contact retinal camera for retinopathy of prematurity. We evaluated the difference in the occurrence of safety events (i.e., clinically significant bradycardia, tachycardia, oxygen desaturation, or apnea) following the clinical examination versus retinal imaging.
Safety events occurred after 0.8% (n = 1) of imaging sessions and 5.8% (n = 18) of clinical examinations (mean difference = -0.055 (p = 0.015), favoring imaging).
Retinal imaging with a non-contact camera was well tolerated and less stressful to infants compared to indirect ophthalmoscopy by an ophthalmologist.
大多数早产儿视网膜病变筛查都需要眼科医生进行间接眼底镜检查，但这对婴儿来说可能会有压力。本研究的目的是评估与间接眼底镜检查相比，使用非接触式视网膜相机对婴儿进行成像的安全性（以心肺事件为指标）。
对一家社区医院的 99 名婴儿进行前瞻性队列研究，他们接受了间接眼底镜检查和非接触式视网膜相机检查，以筛查早产儿视网膜病变。我们评估了临床检查与视网膜成像后安全事件（即临床显著心动过缓、心动过速、氧饱和度下降或呼吸暂停）发生的差异。
0.8%（n=1）的成像检查和 5.8%（n=18）的临床检查后出现安全事件（平均差异=-0.055，p=0.015，有利于成像）。
与眼科医生进行间接眼底镜检查相比，使用非接触式相机进行视网膜成像对婴儿的耐受性更好，压力更小。
