TITLE

Comparison of Ultrasonic and Ophthalmoscopic Evaluation of Retinopathy of Prematurity

AUTHOR(S)
Jokl, Danny H.-Kauffmann; Silverman, Ronald H.; Springer, Alan D.; Towers, Helen; Kane, Steven; Lopez, Robert; Chiang, Michael F.; Lloyd, Harriet O.; Barbazetto, Irene; Horowitz, Robyn; Vidne, Orit
PUB. DATE
November 2004
SOURCE
Journal of Pediatric Ophthalmology & Strabismus;Nov/Dec2004, Vol. 41 Issue 6, p345
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Purpose: Screening for detection of retinopathy of prematurity (ROP) currently is limited to indirect ophthalmoscopy, which requires considerable examiner skill and experience. We investigated whether conventional 10 MHz B-scan ultrasonography could document the clinical stages of ROP as accurately as indirect ophthalmoscopy. Methods: Thirty-four eyes of 18 neonates were examined by masked, independent observers with indirect ophthalmoscopy and digitally recorded 10-MHz B-scan ultrasonography. After pupil dilation and lid speculum placement, the retinologist recorded the stage of retinopathy with a retinal drawing. The ultrasonographer, without use of papillary mydriatics or lid speculum, determined the presence or absence of a ridge or tractional elements, if present on the ridge. Results: Ultrasound grade correlated with clinical grade (R = .79, P < .001). However, nine eyes were overdiagnosed by one stage, and one eye, in which a peripheral detachment was mistaken for an artifact, was underdiagnosed. Conclusions: Ten-megahertz ultrasonography offers the potential of imaging and detecting the clinical stages of ROP; the use of higher ultrasound frequencies, now becoming commercially available, is likely to enhance diagnostic accuracy. Care must be taken to distinguish between artifact and true anatomical structures in noncontact ultrasound examinations. Neonates with suspected ROP could be screened with B-scan ultrasonography by neonatal personnel without pupillary dilatation or lid speculum, thus eliminating potential morbidity, and clinically significant cases of ROP then could be referred to the retinologist.
ACCESSION #
20066565

 

Related Articles

  • Is There a Role for High-Frequency Ultrasonography in Clinical Staging of Retinopathy of Prematurity? Jokl, Danny H.-Kauffmann; Silverman, Ronald H.; Nemerofsky, Sheri L.; Kane, Steven A.; Chiang, Michael F.; Lopez, Robert; Lee, Grace // Journal of Pediatric Ophthalmology & Strabismus;Jan/Feb2006, Vol. 43 Issue 1, p31 

    Purpose: To compare 20-MHz ultrasonography with ophthalmoscopy in the staging of retinopathy of prematurity (ROP). Methods: We used a handheld 20-MHz ultrasound system to examine 38 eyes of 19 neonates who had an indirect ophthalmoscopic examination (diagnosis masked) within 48 hours prior to...

  • The Management of Retinopathy of Prematurity. Reynolds, J.D. // Pediatric Drugs;2001, Vol. 3 Issue 4, p263 

    Retinopathy of prematurity (ROP) is a major problem in both highly developed countries and countries with emerging technology. The incidence of ROP has been stable over the last 2 decades despite improvements in neonatology. Threshold ROP occurs in about 5% of premature infants in the US with...

  • Screening for retinopathy of prematurity: evaluation and modification of guidelines. E Larsson; G Holmström // Archives of Disease in Childhood -- Fetal & Neonatal Edition;May2003, Vol. 88 Issue 3, p172 

    Evaluates the screening guidelines for retinopathy of prematurity (ROP). Percentage of infants with a gestational age at birth.

  • Research letters. Chattopadhyay, Mahuya; Pradhan, Ashish; Singh, Ritesh; Datta, Sudip; Marwah, Poonam; Chawla, Deepak; Chander, Jagdish; Guglani, Vishal; Marwah, Ashish // Indian Pediatrics;Feb2015, Vol. 52 Issue 2, p157 

    The article presents abstracts on medical topics which include the incidence and risk factors for retinopathy of prematurity in neonates, and the bacteriological profile of neonatal sepsis.

  • Screening for retinopathy of prematurity. Andruscavage, L.; Weissgold, D.J. // British Journal of Ophthalmology;Oct2002, Vol. 86 Issue 10, p1127 

    Aim: A cross sectional (prevalence) study was performed to assess the usefulness and sensitivity of commonly employed criteria to identify infants for routine ophthalmoscopic screening for retinopathy of prematurity (ROP). Methods: At a tertiary care centre between 1 January 1992 and 30 June...

  • Screening for Retinopathy of Prematurity in Developing Countries. Rohit Sharma; Ved P. Gupta; Upreet Dhaliwal; Piyush Gupta // Journal of Tropical Pediatrics;Feb2007, Vol. 53 Issue 1, p52 

    Improved survival of low birth weight, premature babies in India has increased the incidence of retinopathy of prematurity. Western reports describe screening criteria to pick up babies most at risk. However, our population of at-risk neonates is likely to be different, as most nurseries in...

  • Legal Blindness among 10-Year-Old Children in Metropolitan Atlanta: Prevalence, 1985 to 1987. Drews, Carolyn D.; Yeargin-Allsopp, Marshalyn; Murphy, Catherine C.; Decoufle, Pierre // American Journal of Public Health;Oct92, Vol. 82 Issue 10, p1377 

    The prevalence of legal blindness in 10-year-olds in metropolitan Atlanta was 6.8 per 10 000 during 1985 to 1987. The prevalence was 8.8 per 10 000 in Black boys, 8.6 per 10 000 in white boys, 6.7 per 10 000 in White girls, and 1.8 per 10 000 in Black girls. Retinopathy of prematurity was the...

  • Anaesthesia Experience In A Child Affected By Congenital Cystic Adenomatoid Malformation And Retinopathy Of Prematurity For Eye Laser Procedure. Takrouri, Mohamad Said Maani; Maghaireh, Abdulbaset; Obeidat, Mohammed Rushdi // Internet Journal of Anesthesiology;2009, Vol. 19 Issue 2, p2 

    Congenital Cystic Adenomatoid Malformation or bronchopulmonary displasia Ccongenital lung cysts disease) is a rare condition. Intrauterine death affect severe cases, those infants surviving till birth lead a chronic course of respiratory illness amenable to corrective thoracic surgery or other...

  • Hyperglycemia and Retinopathy of Prematurity in Very Low Birth Weight Infants. Garg, Ruchira; Agthe, Alexander G; Donohue, Pamela K; Lehmann, Christoph U // Journal of Perinatology;Apr2003, Vol. 23 Issue 3, p186 

    OBJECTIVE: Retinopathy of prematurity (ROP) remains a leading cause of morbidity in the very low-birth-weight (VLBW) infant. This study investigates a possible association between serum/blood glucose and the development of ROP. METHODS: A retrospective case-control study of all infants born...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

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

Try another library?
Sign out of this library

Other Topics