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   Table of Contents      
COMMENTARY
Year : 2019  |  Volume : 67  |  Issue : 6  |  Page : 839

Commentary: Retinopathy of prematurity screening made simple – Smartphone-based fundus imaging


Department of Vitreoretina and Uveitis Services, L V Prasad Eye Institute, Visakhapatnam, Andhra Pradesh, India

Date of Web Publication24-May-2019

Correspondence Address:
Dr. Bhavik Panchal
Department of Vitreoretina and Uveitis Services, L V Prasad Eye Institute, Visakhapatnam - 530 040, Andhra Pradesh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_842_19

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How to cite this article:
Panchal B. Commentary: Retinopathy of prematurity screening made simple – Smartphone-based fundus imaging. Indian J Ophthalmol 2019;67:839

How to cite this URL:
Panchal B. Commentary: Retinopathy of prematurity screening made simple – Smartphone-based fundus imaging. Indian J Ophthalmol [serial online] 2019 [cited 2019 Jun 26];67:839. Available from: http://www.ijo.in/text.asp?2019/67/6/839/259066



Retinopathy of prematurity (ROP) continues to remain an important cause of childhood blindness all over the world with a difference in the scenario in the developed and developing countries.[1],[2] Countries such as India and China together account for more than half of the total number of premature infants born, with India alone accounting for 3.5 million preterm infants annually.[3] The incidence of ROP is on the rise, not just in urban but even rural areas. Better facilities in the newborn care have led to reduction in the neonatal mortality rate and increase in the number of at-risk babies. However, the number of ophthalmic personnel required to screen all the at-risk babies is insufficient. In India, programs like KIDROP [4] have helped in reducing the number of ROP-related blindness using wide-field imaging, telemedicine, nonphysician graders, and smart phone reporting.

It may not be possible to use an expensive wide-field imaging-based system for all. This is where the role of smartphone-based fundus imaging plays an important role. Lekha et al.[5] in their study have demonstrated that MII RetCam-assisted smartphone-based fundus imaging is a potential alternate imaging tool enabling objective documentation and monitoring of ROP in low-resource settings. Smartphone-based fundus imaging can be used by the pediatricians themselves and an ophthalmologist trained in managing ROP can review the images at a remote location and help achieve near-optimal screening. The other important aspect of the smartphone-based fundus imaging is the relative use of handling and a smaller learning curve.

The screening examination can be stressful for both babies and parents; a trust can be developed between the doctor and the parents by involving the parents in the care and photographic evidence can go a long way in achieving it. Smartphone-based fundus imaging could be the way forward not just in screening ROP but other retinal conditions as well.



 
  References Top

1.
Gilbert C, Rahi J, Eckstein M, O'Sullivan J, Foster A. Retinopathy of prematurityin middle-income countries. Lancet 1997;350:12e4.  Back to cited text no. 1
    
2.
Gilbert C, Fielder A, Gordillo L, Quinn G, Semiglia R, Visintin P, et al. International NO-ROP Group. Characteristics of infants with severe retinopathy of prematurity in countries with low, moderate, and high levels of development: Implications for screening programs. Pediatrics 2005;115:e518e25.  Back to cited text no. 2
    
3.
United Nations. Born too soon. The global action report on preterm birth; 2012. Available from: http://www.who.int/pmnch/media/news/2012/201204_borntoosoon-report.pdf. [Last accessed on 2018 Apr 28].  Back to cited text no. 3
    
4.
Vinekar A, Gilbert C, Dogra M, Kurian M, Shainesh G, Shetty B, et al. The KIDROP model of combining strategies for providing retinopathy of prematurity screening in underserved areas in India using wide-field imaging, telemedicine, non-physician graders and smart phone reporting. Indian J Ophthalmol 2014;62:41e9.  Back to cited text no. 4
    
5.
Lekha T, Ramesh S, Sharma A, Abinaya G. MII RetCam assisted smartphone based fundus imaging for retinopathy of prematurity. Indian J Ophthalmol 2019;67:834-9.  Back to cited text no. 5
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