Look what else we found - clinically significant abnormalities detected during routine ROP screening.
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Date
2015-05
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Abstract
Purpose: 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. Methods: 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. Results: 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. Conclusions: 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.
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Keywords
Community, digital imaging, Karnataka Internet‑assisted Diagnosis of Retinopathy of Prematurity, retinopathy of prematurity, telemedicine, universal screening
Citation
Jayadev Chaitra, Vinekar Anand, Bauer Noel, Mangalesh Shwetha, Mahendradas Padmamalini, Kemmanu Vasudha, Mallipatna Ashwin, Shetty Bhujang. Look what else we found - clinically significant abnormalities detected during routine ROP screening. Indian Journal of Ophthalmology. 2015 May; 63(5): 373-377.