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      Telemedicine for Retinopathy of Prematurity

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          Abstract

          Background: Retinopathy of prematurity (ROP) is a disease of the retinal vasculature that remains a leading cause of childhood blindness worldwide despite improvements in the systemic care of premature newborns. Screening for ROP is effective and cost-effective, but in many areas, access to skilled examiners to conduct dilated examinations is poor. Remote screening with retinal photography is an alternative strategy that may allow for improved ROP care.

          Methods: The current literature was reviewed to find clinical trials and expert consensus documents on the state-of-the-art of telemedicine for ROP.

          Results: Several studies have confirmed the utility of telemedicine for ROP. In addition, several clinical studies have reported favorable long-term results. Many investigators have reinforced the need for detailed protocols on image acquisition and image interpretation.

          Conclusions: Telemedicine for ROP appears to be a viable alternative to live ophthalmoscopic examinations in many circumstances. Standardization and documentation afforded by telemedicine may provide additional benefits to providers and their patients. With continued improvements in image quality and affordability of imaging systems as well as improved automated image interpretation tools anticipated in the near future, telemedicine for ROP is expected to play an expanding role for a uniquely vulnerable patient population.

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          Author and article information

          Journal
          Telemed J E Health
          Telemed J E Health
          tmj
          Telemedicine Journal and e-Health
          Mary Ann Liebert, Inc., publishers (140 Huguenot Street, 3rd FloorNew Rochelle, NY 10801USA )
          1530-5627
          1556-3669
          April 2020
          16 April 2020
          : 26
          : 4
          : 556-564
          Affiliations
          [ 1 ]Division of Ophthalmology, Department of Surgery, Larner College of Medicine, University of Vermont, Burlington, Vermont.
          [ 2 ]Division of Ophthalmology, Department of Surgery, University of Vermont Medical Center, Burlington, Vermont.
          [ 3 ]Casey Eye Institute, Oregon Health and Science University, Portland, Oregon.
          Author notes
          [*]Address correspondence to: Christopher J. Brady, MD, MHS, Division of Ophthalmology, Department of Surgery, Larner College of Medicine, University of Vermont Medical Center, 111 Colchester Avenue, ACC WP5, Burlington, VT 05401 cbrady3@ 123456uvm.edu
          Article
          PMC7187968 PMC7187968 7187968 10.1089/tmj.2020.0010
          10.1089/tmj.2020.0010
          7187968
          32209016
          14191ae8-a96e-49c8-9ee2-e404a9bb84b5
          Copyright 2020, Mary Ann Liebert, Inc., publishers
          History
          : Received: January 9, 2020
          : Revised: January 21, 2020
          : Accepted: January 21, 2020
          Page count
          References: 70, Pages: 9
          Categories
          Policy (Available Online)

          ophthalmology,teleophthalmology,telemedicine
          ophthalmology, teleophthalmology, telemedicine

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