TITLE

Screening for retinopathy of prematurity--a comparison between binocular indirect ophthalmoscopy and RetCam 120

AUTHOR(S)
Shah, Parag K.; Narendran, V.; Saravanan, V. R.; Raghuram, A.; Chattopadhyay, Abhijit; Kashyap, Maithreyi
PUB. DATE
March 2006
SOURCE
Indian Journal of Ophthalmology;Mar2006, Vol. 54 Issue 1, p35
SOURCE TYPE
Academic Journal
DOC. TYPE
journal article
ABSTRACT
Aim: To compare the photographic screening for retinopathy of prematurity (ROP) using RetCam 120 with binocular indirect ophthalmoscope (BIO), which is the current gold standard.Setting and Design: Prospective, comparative study.Materials and Methods: A total of 87 RetCam examinations were performed on 27 premature babies. They were stored in a separate file after deleting the identifying information. At the same visit using the BIO with scleral depression, an experienced vitreoretinal surgeon evaluated the fundus in detail. A masked examiner then evaluated the RetCam photographs for presence or absence of ROP, the stage and zone of the disease and the presence or absence of plus disease. These data were then compared with the BIO findings to determine the sensitivity, specificity and the positive and negative predictive values of the method.Results: ROP was detected in 63 of 87 examinations by BIO and in 56 of 87 RetCam examinations. Nine RetCam examinations were false-negative and two were false-positive. Sensitivity of RetCam was 85.71% (54/63) and specificity was 91.66% (22/24). The positive and negative predictive values were 96.43% and 70.97% respectively.Conclusion: Nine cases having ROP were missed by the RetCam. All these cases were either in zone 3 or the outer part of zone 2, which later regressed. These were missed mostly because of the restricted mobility of the camera head caused by its size and the barrier caused by the lid speculum arms. No case of threshold ROP was missed. RetCam may replace BIO for screening of ROP.
ACCESSION #
20045178

 

Related Articles

  • Screening and Treatment in Retinopathy of Prematurity. Stahl, Andreas; Göpel, Wolfgang // Deutsches Aerzteblatt International;10/23/2015, Vol. 112 Issue 43, p730 

    Background: More than 11 000 children are examined for possible retinopathy of prematurity in Germany each year, and 2-5% of them are treated for it. Even though screening and treatment programs are in place, the affected children can still suffer visual impairment. Methods: In this article, we...

  • Perfusion abnormalities in children with cerebral malaria and malarial retinopathy. Beare, Nicholas A. V.; Harding, Simon P.; Taylor, Terrie E.; Lewallen, Susan; Molyneux, Malcolm E. // Journal of Infectious Diseases;1/15/2009, Vol. 199 Issue 2, p263 

    Background: In patients with cerebral malaria (CM), retinal angiography allows the study of infected central nervous system microvasculature in vivo. We aimed to examine retinal perfusion in children with CM by use of fluorescein angiography to investigate the pathophysiology of...

  • Treating Retinopathy of Prematurity. Reynolds, James; McNamara, J. Arch // Journal of Pediatric Ophthalmology & Strabismus;Jan/Feb2005, Vol. 42 Issue 1, p7 

    Presents a panel discussion on treating retinopathy of prematurity. James Reynolds of Children's Hospital of Buffalo in Buffalo, New York; J. Arch McNamara of Wills Eye Hospital in Philadelphia, Pennsylvania.

  • Retinopathy of Prematurity in Twin--Twin Transfusion Syndrome. Puvanachandra, Narman; Clifford, Luke; Gaston, Hannah // Journal of Pediatric Ophthalmology & Strabismus;Jul/Aug2009, Vol. 46 Issue 4, p226 

    The authors present the first reported case of retinopathy of prematurity in twin-twin transfusion syndrome. A 31-year-old woman gave birth to twins at 31 weeks' gestation. The pregnancy had been complicated by twin-twin transfusion syndrome and had been managed with two amnioreductions and...

  • Multifactorial risk environment for retinopathy of prematurity. Drazdienė, Nijolė; Bagdonienė, Rasa; Sirtautienė, Rasa; Vezbergienė, Nijolė; Sliesoraitienė, Viktorija; Sliesoraitytė, Ieva // Acta Medica Lituanica;2006, Vol. 13 Issue 3, p141 

    Background: Retinopathy of prematurity (ROP) might be prevented by a timely diagnosis and appropriate treatment applied according to the risk factors. The goal of our research was to combine the optimal clinical and epidemiological indicators for ROP risk detection. Materials and methods: A...

  • Screening for retinopathy of prematurity. McGurk, Valerie // Paediatric Nursing;Dec2003, Vol. 15 Issue 10, p29 

    Looks at the significance of screening for retinopathy of prematurity (ROP) to neonatal units. Information on ROP; Stages of ROP; Location or zone of the retina; Role of an ROP coordinator.

  • retrolental fibroplasia. Peters, Michael // BMA A-Z Family Medical Encyclopedia;2004, p662 

    An encyclopedia entry for "retrolental fibroplasia" is presented. Also called retinopathy of prematurity, it refers to a condition that mainly affects the eyes of premature infants. Usually, the cause is high concentrations of oxygen being given to premature infants as part of the treatment for...

  • WINROP can modify ROP screening praxis: a validation of WINROP in populations in Sörmland and Västmanland. Eriksson, Laila; Lidén, Ulrika; Löfqvist, Chatarina; Hellström, Ann // British Journal of Ophthalmology;Jul2014, Vol. 98 Issue 7, p964 

    Background This study validates the newly developed WINROP algorithm aimed at detecting retinopathy of prematurity (ROP) requiring treatment at an early stage. The study was conducted at two middle-sized hospitals in Sweden, prospectively and retrospectively. Methods A total of 104 children...

  • Incidence and severity of retinopathy of prematurity in Turkey. Bas, Ahmet Yagmur; Koc, Esin; Dilmen, Ugur // British Journal of Ophthalmology;Oct2015, Vol. 99 Issue 10, p1311 

    Background The purpose of this study was to estimate the current incidence of retinopathy of prematurity (ROP) and the need for treatment in preterm infants in Turkey. Methods The study included preterm infants who had been screened for ROP between 2011 and 2013 in 49 neonatal intensive care...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics