Stanford University Network for Diagnosis of Retinopathy of Prematurity (SUNDROP): Five Years of Screening With Telemedicine

被引：58

作者：

Fijalkowski, Natalia ^{[1
]}

Zheng, Luo Luo ^{[1
]}

Henderson, Michael T. ^{[1
]}

Wang, Sean K. ^{[1
]}

Wallenstein, Matthew B. ^{[2
]}

Leng, Theodore ^{[1
]}

Moshfeghi, Darius M. ^{[1
]}

机构：

[1] Stanford Univ, Sch Med, Dept Ophthalmol, Byers Eye Inst,Horngren Family Vitreoretinal Ctr, Palo Alto, CA 94303 USA

[2] Stanford Univ, Sch Med, Dept Pediat, Lucile Packard Childrens Hosp, Palo Alto, CA 94303 USA

来源：

OPHTHALMIC SURGERY LASERS & IMAGING RETINA | 2014年 / 45卷 / 02期

基金：

美国国家卫生研究院;

关键词：

INDIRECT OPHTHALMOSCOPY; LASER PHOTOCOAGULATION; THRESHOLD RETINOPATHY; VISUAL IMPAIRMENT; EXPERIENCE; MANAGEMENT; BLINDNESS; BEVACIZUMAB; RELIABILITY; ACCURACY;

D O I：

10.3928/23258160-20140122-01

中图分类号：

R77 [眼科学];

学科分类号：

100212 ;

摘要：

BACKGROUND AND OBJECTIVE: To report the 5-year results of the Stanford University Network for Diagnosis of Retinopathy of Prematurity (SUNDROP) tele-medicine initiative. PATIENTS AND METHODS: Infants requiring retinopathy of prematurity (ROP) screening at six neonatal intensive care units from December 1, 2005, to November 30, 2010, were evaluated with remote retinal photography by an ROP specialist. Every infant received outpatient binocular indirect ophthalmoscope examinations until termination criteria were achieved or until treatment. Outcomes were treatment-warranted ROP (TW-ROP, ETROP type 1) and adverse anatomical events. RESULTS: Five hundred eleven infants (1,022 eyes) were screened. Fifteen infants had TW-ROP and underwent laser photocoagulation. The TW-ROP cohort had significantly lower birth weight and gestational age (both P < .001). No patient progressed to adverse anatomical outcomes and no case of TW-ROP was missed. Telemedicine had 100% sensitivity, 99.8% specificity, 93.8% positive predictive value, and 100% negative predictive value for detection of TW-ROP. CONCLUSION: Telemedicine demonstrates high diagnostic accuracy for detection of TW-ROP and can complement ROP screening.

引用

页码：106 / 113

页数：8

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