J Pediatr Ophthalmol Strabismus. 2021 Jul-Aug;58(4):261-269. doi: 10.3928/01913913-20210223-01. Epub 2021 Jul 1.
The rising prevalence of retinopathy of prematurity (ROP) in low- and middle-income countries has increased the need for screening at-risk infants. The purpose of this article was to review the impact of tele-medicine and technology on ROP screening programs. Adhering to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, a systematic review was performed using PubMed, Pro-Quest, and Google Scholar bibliographic search engine. Terms searched included retinopathy of prematurity, telemedicine, and tele-ophthalmology. Data regarding internet access and gross domestic product per capita were obtained from the World Bank. Information was also obtained about internet access, speeds, and costs in low-income countries. There has been increasing integration of telemedicine and technology for ROP screening and management. Low-income countries are using available internet options and information and communications technology for ROP screening, which can aid in addressing the unique challenges faced by low-income countries. This provides a promising solution to the third epidemic of ROP by expanding and improving screening and management. Although telemedicine systems may serve as a cost-effective approach to facilitate delivery of health care, programs (especially in lowand middle-income countries) require national support to maintain its infrastructure. .
早产儿视网膜病变（ROP）在中低收入国家的发病率不断上升，这增加了对高危婴儿进行筛查的需求。本文旨在回顾远程医疗和技术对 ROP 筛查项目的影响。本研究遵循系统评价和荟萃分析的首选报告项目（PRISMA）指南，使用 PubMed、Pro-Quest 和 Google Scholar 书目搜索引擎进行了系统评价。搜索的术语包括早产儿视网膜病变、远程医疗和远程眼科学。有关互联网接入和人均国内生产总值的数据来自世界银行。还获得了低收入国家互联网接入、速度和成本的信息。远程医疗和技术在 ROP 筛查和管理中的整合越来越多。低收入国家正在利用现有的互联网选择和信息通信技术进行 ROP 筛查，这有助于解决低收入国家面临的独特挑战。这为 ROP 的第三次流行提供了一个有希望的解决方案，通过扩大和改善筛查和管理。尽管远程医疗系统可能是一种具有成本效益的方法，可以促进医疗保健的提供，但该系统（尤其是在中低收入国家）需要国家支持来维持其基础设施。
