Outcome of real-time telescreening for retinopathy of prematurity using videoconferencing in a community setting in Eastern India

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dc.contributor.authorPadhi, Tapas Ren_US
dc.contributor.authorBhunia, Souviken_US
dc.contributor.authorDas, Taraprasaden_US
dc.contributor.authorNayak, Sameeren_US
dc.contributor.authorJalan, Manaven_US
dc.contributor.authorRath, Suryasnataen_US
dc.contributor.authorBarik, Biswajeeten_US
dc.contributor.authorAli, Hasnaten_US
dc.contributor.authorRani, Padmaja Kumarien_US
dc.contributor.authorRoutray, Dipanwitaen_US
dc.contributor.authorJalali, Subhadraen_US
dc.date.accessioned2025-05-09T09:49:08Z
dc.date.available2025-05-09T09:49:08Z
dc.date.issued2024-05
dc.description.abstractPurpose: To evaluate the feasibility and outcome of a real?time retinopathy of prematurity (ROP) telescreening strategy using videoconferencing in a community setting in India. Method: In a prospective study, trained allied ophthalmic personnel obtained the fundus images in the presence of the parents and local childcare providers. Analysis of images and parental counseling were done in real time by an ROP specialist located at a tertiary center using videoconferencing software. A subset of babies was also examined using bedside indirect ophthalmoscopy by an ROP care?trained ophthalmologist. The data were analyzed using descriptive statistics, sensitivity, specificity, positive and negative predictive values, and correlation coefficient. Results: Over 9 months, we examined 576 babies (1152 eyes) in six rural districts of India. The parents accepted the model as they recognized that a remotely located specialist was evaluating all images in real time. The strategy saved the travel time for ROP specialists by 477 h (47.7 working days) and for parents (47,406 h or 1975.25 days), along with the associated travel cost. In a subgroup analysis (100 babies, 200 eyes), the technology had a high sensitivity (97.2%) and negative predictivity value (92.7%). It showed substantial agreement (k = 0.708) with the bedside indirect ophthalmoscopy by ROP specialists with respect to the detection of treatment warranting ROP. Also, the strategy helped train the participants. Conclusion: Real?time ROP telescreening using videoconferencing is sensitive enough to detect treatment warranting ROPs and saves skilled workforce and time. The real?time audiovisual connection allows optimal supervision of imaging, provides excellent training opportunities, and connects ophthalmologists directly with the parents.en_US
dc.identifier.affiliationsVitreoretinal Services, Anant Bajaj Retina Institute, Mithu Tulsi Chanrai Campus, LV Prasad Eye Institute, Bhubaneswar, Odisha, Indiaen_US
dc.identifier.affiliationsVitreoretinal Services, Anant Bajaj Retina Institute, Mithu Tulsi Chanrai Campus, LV Prasad Eye Institute, Bhubaneswar, Odisha, Indiaen_US
dc.identifier.affiliationsVitreoretinal Services, Anant Bajaj Retina Institute, Hyderabad, Telangana, Indiaen_US
dc.identifier.affiliationsVitreoretinal Services, Anant Bajaj Retina Institute, Mithu Tulsi Chanrai Campus, LV Prasad Eye Institute, Bhubaneswar, Odisha, Indiaen_US
dc.identifier.affiliationsVitreoretinal Services, Anant Bajaj Retina Institute, Mithu Tulsi Chanrai Campus, LV Prasad Eye Institute, Bhubaneswar, Odisha, Indiaen_US
dc.identifier.affiliationsVitreoretinal Services, Anant Bajaj Retina Institute, Mithu Tulsi Chanrai Campus, LV Prasad Eye Institute, Bhubaneswar, Odisha, Indiaen_US
dc.identifier.affiliationsVitreoretinal Services, Anant Bajaj Retina Institute, Mithu Tulsi Chanrai Campus, LV Prasad Eye Institute, Bhubaneswar, Odisha, Indiaen_US
dc.identifier.affiliationsDepartment of Biostatistics, Kallam Anji Reddy Campus, LV Prasad Eye Institute, Hyderabad, Telangana, Indiaen_US
dc.identifier.affiliationsVitreoretinal Services, Anant Bajaj Retina Institute, Hyderabad, Telangana, Indiaen_US
dc.identifier.affiliationsDepartment of Community Medicine, District Medical College Hospital, Keonjhar, Odisha, Indiaen_US
dc.identifier.affiliationsVitreoretinal Services, Anant Bajaj Retina Institute, Hyderabad, Telangana, Indiaen_US
dc.identifier.citationPadhi Tapas R, Bhunia Souvik, Das Taraprasad, Nayak Sameer, Jalan Manav, Rath Suryasnata, Barik Biswajeet, Ali Hasnat, Rani Padmaja Kumari, Routray Dipanwita, Jalali Subhadra. Outcome of real-time telescreening for retinopathy of prematurity using videoconferencing in a community setting in Eastern India. Indian Journal of Ophthalmology. 2024 May; 72(5): 697-703en_US
dc.identifier.issn0301-4738
dc.identifier.issn1998-3689
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/244953
dc.languageenen_US
dc.publisherWolters Kluwer – Medknowen_US
dc.relation.issuenumber5en_US
dc.relation.volume72en_US
dc.source.urihttps://doi.org/10.4103/IJO.IJO_2024_23en_US
dc.subjectReal?time ROP telescreening (RRT)en_US
dc.subjectretinopathy of prematurity (ROP)en_US
dc.subjecttelemedicine in ROPen_US
dc.subjecttelescreening for ROPen_US
dc.subjectvideoconferencingen_US
dc.titleOutcome of real-time telescreening for retinopathy of prematurity using videoconferencing in a community setting in Eastern Indiaen_US
dc.typeJournal Articleen_US
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