Vitreoretinal division, King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia.
Department of Ophthalmology, Jules Stein Eye Institute, University of California, Los Angeles, USA.
Middle East Afr J Ophthalmol. 2022 Nov 23;29(1):38-50. doi: 10.4103/meajo.meajo_56_22. eCollection 2022 Jan-Mar.
Retinopathy of prematurity (ROP) is a disease that affects retinal vasculature in premature infants and remains one of the leading causes of blindness in childhood worldwide. ROP screening can encounter some difficulties such as the lack of specialists and services in rural areas. The evolution of technology has helped address these issues and led to the emergence of state-of-the-art multimodal digital imaging devices such fundus cameras with its variable properties, optical coherence tomography (OCT), OCT angiography, and fluorescein angiography which has helped immensely in the process of improving ROP care and understanding the disease pathophysiology. Computer-based imaging analysis and deep learning have recently been demonstrating promising outcomes in regard to ROP diagnosis. Telemedicine is considered an acceptable alternative to clinical examination when optimal circumstances for ROP screening in certain areas are lacking, and the expansion of these programs has been reported. Tele-education programs in ROP have the potential to improve the quality of training to physicians to optimize ROP care.
早产儿视网膜病变（ROP）是一种影响早产儿视网膜血管的疾病，仍是全球儿童致盲的主要原因之一。ROP 筛查在农村地区可能会遇到一些困难，例如缺乏专家和服务。技术的发展有助于解决这些问题，并导致出现了最先进的多模态数字成像设备，例如具有可变特性的眼底相机、光学相干断层扫描（OCT）、OCT 血管造影和荧光素血管造影，这极大地有助于改善 ROP 护理和了解疾病病理生理学。基于计算机的成像分析和深度学习最近在 ROP 诊断方面显示出了有前景的结果。当某些地区缺乏 ROP 筛查的最佳条件时，远程医疗被认为是临床检查的可接受替代方法，并且已经报告了这些项目的扩展。ROP 的远程医疗教育计划有可能提高医生的培训质量，以优化 ROP 护理。
