Look what else we found--clinically significant abnormalities detected during routine ROP screening

The purpose of this study was to report the spectrum of anterior and posterior segment diagnoses in Asian Indian premature infants detected serendipitously during routine retinopathy of prematurity (ROP) screening during a 1 year period. A retrospective review of all Retcam (Clarity MSI, USA) imaging sessions during the year 2011 performed on infants born either <2001 g at birth and/or <34.1 weeks of gestation recruited for ROP screening was performed. All infants had a minimum of seven images at each session, which included the dilated anterior segment, disc, and macula center and the four quadrants using the 130° lens. Of the 8954 imaging sessions of 1450 new infants recruited in 2011, there were 111 (7.66%) with a diagnosis other than ROP. Anterior segment diagnoses seen in 31 (27.9%) cases included clinically significant cataract, lid abnormalities, anophthalmos, microphthalmos, and corneal diseases. Posterior segment diagnoses in 80 (72.1%) cases included retinal hemorrhages, cherry red spots, and neonatal uveitis of infective etiologies. Of the 111 cases, 15 (13.5%) underwent surgical procedures and 24 (21.6%) underwent medical procedures; importantly, two eyes with retinoblastoma were detected which were managed timely. This study emphasizes the importance of ocular digital imaging in premature infants. Visually significant, potentially life-threatening, and even treatable conditions were detected serendipitously during routine ROP screening that may be missed or detected late otherwise. This pilot data may be used to advocate for a possible universal infant eye screening program using digital imaging..

Medienart:

Artikel

Erscheinungsjahr:

2015

Erschienen:

2015

Enthalten in:

Zur Gesamtaufnahme - volume:63

Enthalten in:

Indian journal of ophthalmology - 63(2015), 5, Seite 373-377

Sprache:

Englisch

Beteiligte Personen:

Jayadev, Chaitra [VerfasserIn]
Vinekar, Anand [Sonstige Person]
Bauer, Noel [Sonstige Person]
Mangalesh, Shwetha [Sonstige Person]
Mahendradas, Padmamalini [Sonstige Person]
Kemmanu, Vasudha [Sonstige Person]
Mallipatna, Ashwin [Sonstige Person]
Shetty, Bhujang [Sonstige Person]

Links:

Volltext
www.ncbi.nlm.nih.gov
search.proquest.com
doaj.org

BKL:

44.00

Themen:

Babies
Community
Digital imaging
Karnataka Internet-assisted Diagnosis of Retinopathy of Prematurity
Medicine
Ophthalmology
Pathology
Pediatrics
Premature birth
RE1-994
Retinopathy of prematurity
Telemedicine
Universal screening

doi:

10.4103/0301-4738.159859

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

OLC1964663881