Division of Neonatology, Beth Israel Deaconess Medical Center, 330 Brookline Avenue, Rose Building Room 308, Boston, MA 02215, USA; Division of Newborn Medicine, Boston Children's Hospital, Boston, MA, USA.
Department of Radiology, Cleveland Clinic Foundation, Imaging Institute, 9500 Euclid Avenue - L10, Cleveland, OH 44195, USA.
Pediatr Clin North Am. 2020 Aug;67(4):725-733. doi: 10.1016/j.pcl.2020.04.012.
Retinopathy of prematurity (ROP) is the leading cause of childhood blindness in very-low-birthweight and very preterm infants in the United States. With improved survival of smaller babies, more infants are at risk for ROP, yet there is an increasing shortage of providers to screen and treat ROP. Through a literature review of new and emerging technologies, screening criteria, and analysis of a national survey of pediatric ophthalmologists and retinal specialists, the authors found the shortage of ophthalmology workforce for ROP a serious and growing concern. When used appropriately, emerging technologies have the potential to mitigate gaps in the ROP workforce.
早产儿视网膜病变(ROP)是美国极低出生体重和极早产儿致盲的主要原因。随着较小婴儿存活率的提高,更多的婴儿面临 ROP 的风险,但筛查和治疗 ROP 的医务人员却越来越短缺。通过对新技术、新筛查标准的文献回顾,以及对儿科眼科医生和视网膜专家的全国性调查进行分析,作者发现 ROP 眼科医务人员的短缺是一个严重且日益严重的问题。如果适当使用,新兴技术有可能缓解 ROP 劳动力方面的差距。