Telemedicine for evaluation of retinopathy of prematurity.

Walter M Fierson; Antonio Capone; AMERICAN ACADEMY OF OPHTHALMOLOGY, and AMERICAN ASSOCIATION OF CERTIFIED ORTHOPTISTS American Academy of Pediatrics Section on Ophthalmology; PG. American Academy of Ophthalmology, American Association of Certified Orthoptists; L. Du; C. Gilbert; A. Foster; ML. Collins; DK. Coats; WV. Good; AM. Menke; P. Lee; AL. Ells; JM. Holmes; WF. Astle; M. Balasubramanian; A. Capone; ME. Hartnett; S. Pignatto; MT. Trese; MF. Chiang; JD. Keenan; J. Starren; C. Wu; RA. Petersen; DK. VanderVeen; RA. Silva; Y. Murakami; A. Jain; J. Gandhi; EM. Lad; DM. Moshfeghi; GE. Quinn; GS. Ying; E. Daniel; PR. Conlin; BM. Fisch; JC. Orcutt; BJ. Hetrick; AW. Darkins; SR. Fransen; TC. Leonard-Martin; WJ. Feuer; PL. Hildebrand; I. Zimmer-Galler; R. Zeimer; DK. Wallace; GE. Quinn; SF. Freedman; MF. Chiang; AR. Kemper; DK. Wallace; GE. Quinn; M. Field; MF. Chiang; M. Melia; AN. Buffenn; SD. Schwartz; SA. Harrison; PJ. Ferrone; MT. Trese; B. Lorenz; K. Spasovska; H. Elflein; N. Schneider; RA. Silva; Y. Murakami; EM. Lad; DM. Moshfeghi; MF. Chiang; L. Wang; M. Busuioc; C. Dhaliwal; E. Wright; C. Graham; N. McIntosh; BW. Fleck; S. Dai; K. Chow; A. Vincent; S. Koreen; R. Lopez; DH. Jokl; JT. Flynn; MF. Chiang; M. Mehta; GG. Adams; C. Bunce; W. Xing; M. Hill; AN. Mukherjee; P. Watts; H. Al-Madfai; B. Manoj; D. Roberts; WM. Fierson

doi:10.1542/peds.2014-0978

Telemedicine for evaluation of retinopathy of prematurity.

Walter M Fierson, Antonio Capone, AMERICAN ACADEMY OF OPHTHALMOLOGY, and AMERICAN ASSOCIATION OF CERTIFIED ORTHOPTISTS American Academy of Pediatrics Section on Ophthalmology, PG. American Academy of Ophthalmology, American Association of Certified Orthoptists, L. Du, C. Gilbert, A. Foster, ML. Collins, DK. Coats, WV. Good, AM. Menke, P. Lee, AL. Ells, JM. Holmes, WF. Astle, M. Balasubramanian, A. Capone, ME. Hartnett, S. Pignatto, MT. TreseMF. Chiang, JD. Keenan, J. Starren, C. Wu, RA. Petersen, DK. VanderVeen, RA. Silva, Y. Murakami, A. Jain, J. Gandhi, EM. Lad, DM. Moshfeghi, GE. Quinn, GS. Ying, E. Daniel, PR. Conlin, BM. Fisch, JC. Orcutt, BJ. Hetrick, AW. Darkins, SR. Fransen, TC. Leonard-Martin, WJ. Feuer, PL. Hildebrand, I. Zimmer-Galler, R. Zeimer, DK. Wallace, GE. Quinn, SF. Freedman, MF. Chiang, AR. Kemper, DK. Wallace, GE. Quinn, M. Field, MF. Chiang, M. Melia, AN. Buffenn, SD. Schwartz, SA. Harrison, PJ. Ferrone, MT. Trese, B. Lorenz, K. Spasovska, H. Elflein, N. Schneider, RA. Silva, Y. Murakami, EM. Lad, DM. Moshfeghi, MF. Chiang, L. Wang, M. Busuioc, C. Dhaliwal, E. Wright, C. Graham, N. McIntosh, BW. Fleck, S. Dai, K. Chow, A. Vincent, S. Koreen, R. Lopez, DH. Jokl, JT. Flynn, MF. Chiang, M. Mehta, GG. Adams, C. Bunce, W. Xing, M. Hill, AN. Mukherjee, P. Watts, H. Al-Madfai, B. Manoj, D. Roberts, WM. Fierson

Population Health Sciences

Research output: Chapter in Book/Report/Conference proceeding › Chapter › peer-review

135 Citations (Scopus)

Abstract

Retinopathy of prematurity (ROP) remains a significant threat to vision for extremely premature infants despite the availability of therapeutic modalities capable, in most cases, of managing this disorder. It has been shown in many controlled trials that application of therapies at the appropriate time is essential to successful outcomes in premature infants affected by ROP. Bedside binocular indirect ophthalmoscopy has been the standard technique for diagnosis and monitoring of ROP in these patients. However, implementation of routine use of this screening method for at-risk premature infants has presented challenges within our existing care systems, including relative local scarcity of qualified ophthalmologist examiners in some locations and the remote location of some NICUs. Modern technology, including the development of wide-angle ocular digital fundus photography, coupled with the ability to send digital images electronically to remote locations, has led to the development of telemedicine-based remote digital fundus imaging (RDFI-TM) evaluation techniques. These techniques have the potential to allow the diagnosis and monitoring of ROP to occur in lieu of the necessity for some repeated on-site examinations in NICUs. This report reviews the currently available literature on RDFI-TM evaluations for ROP and outlines pertinent practical and risk management considerations that should be used when including RDFI-TM in any new or existing ROP care structure.

Original language	English
Title of host publication	Pediatrics
Publisher	American Academy of Pediatrics
Pages	e238-54
ISBN (Print)	0031-4005
DOIs	https://doi.org/10.1542/peds.2014-0978
Publication status	Published - Jan 2015

Publication series

Name	Pediatrics
Volume	135

Keywords

NICU
bedside binocular indirect ophthalmoscopy
ophthalmology
preterm infants
remote digital fundus imagine
retinopathy of prematurity
telemedicine

Access to Document

10.1542/peds.2014-0978

Cite this

Fierson, W. M., Capone, A., American Academy of Pediatrics Section on Ophthalmology, AMERICAN. ACADEMY. OF. OPHTHALMOLOGY. A. AMERICAN. ASSOCIATION. OF. CERTIFIED. ORTHOPTISTS., American Academy of Ophthalmology, American Association of Certified Orthoptists, PG., Du, L., Gilbert, C., Foster, A., Collins, ML., Coats, DK., Good, WV., Menke, AM., Lee, P., Ells, AL., Holmes, JM., Astle, WF., Balasubramanian, M., Capone, A., Hartnett, ME., Pignatto, S., ... Fierson, WM. (2015). Telemedicine for evaluation of retinopathy of prematurity. In Pediatrics (pp. e238-54). (Pediatrics; Vol. 135). American Academy of Pediatrics. https://doi.org/10.1542/peds.2014-0978

@inbook{df846f88434b4f28b7d0cccff4ebf709,

title = "Telemedicine for evaluation of retinopathy of prematurity.",

abstract = "Retinopathy of prematurity (ROP) remains a significant threat to vision for extremely premature infants despite the availability of therapeutic modalities capable, in most cases, of managing this disorder. It has been shown in many controlled trials that application of therapies at the appropriate time is essential to successful outcomes in premature infants affected by ROP. Bedside binocular indirect ophthalmoscopy has been the standard technique for diagnosis and monitoring of ROP in these patients. However, implementation of routine use of this screening method for at-risk premature infants has presented challenges within our existing care systems, including relative local scarcity of qualified ophthalmologist examiners in some locations and the remote location of some NICUs. Modern technology, including the development of wide-angle ocular digital fundus photography, coupled with the ability to send digital images electronically to remote locations, has led to the development of telemedicine-based remote digital fundus imaging (RDFI-TM) evaluation techniques. These techniques have the potential to allow the diagnosis and monitoring of ROP to occur in lieu of the necessity for some repeated on-site examinations in NICUs. This report reviews the currently available literature on RDFI-TM evaluations for ROP and outlines pertinent practical and risk management considerations that should be used when including RDFI-TM in any new or existing ROP care structure.",

keywords = "NICU, bedside binocular indirect ophthalmoscopy, ophthalmology, preterm infants, remote digital fundus imagine, retinopathy of prematurity, telemedicine",

author = "Fierson, {Walter M} and Antonio Capone and {American Academy of Pediatrics Section on Ophthalmology}, {AMERICAN ACADEMY OF OPHTHALMOLOGY, and AMERICAN ASSOCIATION OF CERTIFIED ORTHOPTISTS} and {American Academy of Ophthalmology, American Association of Certified Orthoptists}, PG. and L. Du and C. Gilbert and A. Foster and ML. Collins and DK. Coats and WV. Good and AM. Menke and P. Lee and AL. Ells and JM. Holmes and WF. Astle and M. Balasubramanian and A. Capone and ME. Hartnett and S. Pignatto and MT. Trese and MF. Chiang and JD. Keenan and J. Starren and C. Wu and RA. Petersen and DK. VanderVeen and RA. Silva and Y. Murakami and A. Jain and J. Gandhi and EM. Lad and DM. Moshfeghi and GE. Quinn and GS. Ying and E. Daniel and PR. Conlin and BM. Fisch and JC. Orcutt and BJ. Hetrick and AW. Darkins and SR. Fransen and TC. Leonard-Martin and WJ. Feuer and PL. Hildebrand and I. Zimmer-Galler and R. Zeimer and DK. Wallace and GE. Quinn and SF. Freedman and MF. Chiang and AR. Kemper and DK. Wallace and GE. Quinn and M. Field and MF. Chiang and M. Melia and AN. Buffenn and SD. Schwartz and SA. Harrison and PJ. Ferrone and MT. Trese and B. Lorenz and K. Spasovska and H. Elflein and N. Schneider and RA. Silva and Y. Murakami and EM. Lad and DM. Moshfeghi and MF. Chiang and L. Wang and M. Busuioc and C. Dhaliwal and E. Wright and C. Graham and N. McIntosh and BW. Fleck and S. Dai and K. Chow and A. Vincent and S. Koreen and R. Lopez and DH. Jokl and JT. Flynn and MF. Chiang and M. Mehta and GG. Adams and C. Bunce and W. Xing and M. Hill and AN. Mukherjee and P. Watts and H. Al-Madfai and B. Manoj and D. Roberts and WM. Fierson",

year = "2015",

month = jan,

doi = "10.1542/peds.2014-0978",

language = "English",

isbn = "0031-4005",

series = "Pediatrics",

publisher = "American Academy of Pediatrics",

pages = "e238--54",

booktitle = "Pediatrics",

address = "United States",

}

Fierson, WM, Capone, A, American Academy of Pediatrics Section on Ophthalmology, AMERICANACADEMYOFOPHTHALMOLOGYAAMERICANASSOCIATIONOFCERTIFIEDORTHOPTISTS, American Academy of Ophthalmology, American Association of Certified Orthoptists, PG, Du, L, Gilbert, C, Foster, A, Collins, ML, Coats, DK, Good, WV, Menke, AM, Lee, P, Ells, AL, Holmes, JM, Astle, WF, Balasubramanian, M, Capone, A, Hartnett, ME, Pignatto, S, Trese, MT, Chiang, MF, Keenan, JD, Starren, J, Wu, C, Petersen, RA, VanderVeen, DK, Silva, RA, Murakami, Y, Jain, A, Gandhi, J, Lad, EM, Moshfeghi, DM, Quinn, GE, Ying, GS, Daniel, E, Conlin, PR, Fisch, BM, Orcutt, JC, Hetrick, BJ, Darkins, AW, Fransen, SR, Leonard-Martin, TC, Feuer, WJ, Hildebrand, PL, Zimmer-Galler, I, Zeimer, R, Wallace, DK, Quinn, GE, Freedman, SF, Chiang, MF, Kemper, AR, Wallace, DK, Quinn, GE, Field, M, Chiang, MF, Melia, M, Buffenn, AN, Schwartz, SD, Harrison, SA, Ferrone, PJ, Trese, MT, Lorenz, B, Spasovska, K, Elflein, H, Schneider, N, Silva, RA, Murakami, Y, Lad, EM, Moshfeghi, DM, Chiang, MF, Wang, L, Busuioc, M, Dhaliwal, C, Wright, E, Graham, C, McIntosh, N, Fleck, BW, Dai, S, Chow, K, Vincent, A, Koreen, S, Lopez, R, Jokl, DH, Flynn, JT, Chiang, MF, Mehta, M, Adams, GG, Bunce, C, Xing, W, Hill, M, Mukherjee, AN, Watts, P, Al-Madfai, H, Manoj, B, Roberts, D & Fierson, WM 2015, Telemedicine for evaluation of retinopathy of prematurity. in Pediatrics. Pediatrics, vol. 135, American Academy of Pediatrics, pp. e238-54. https://doi.org/10.1542/peds.2014-0978

Telemedicine for evaluation of retinopathy of prematurity. / Fierson, Walter M; Capone, Antonio; American Academy of Pediatrics Section on Ophthalmology, AMERICAN ACADEMY OF OPHTHALMOLOGY, and AMERICAN ASSOCIATION OF CERTIFIED ORTHOPTISTS et al.
Pediatrics. American Academy of Pediatrics, 2015. p. e238-54 (Pediatrics; Vol. 135).

Research output: Chapter in Book/Report/Conference proceeding › Chapter › peer-review

TY - CHAP

T1 - Telemedicine for evaluation of retinopathy of prematurity.

AU - Fierson, Walter M

AU - Capone, Antonio

AU - American Academy of Pediatrics Section on Ophthalmology, AMERICAN ACADEMY OF OPHTHALMOLOGY, and AMERICAN ASSOCIATION OF CERTIFIED ORTHOPTISTS

AU - American Academy of Ophthalmology, American Association of Certified Orthoptists, PG.

AU - Du, L.

AU - Gilbert, C.

AU - Foster, A.

AU - Collins, ML.

AU - Coats, DK.

AU - Good, WV.

AU - Menke, AM.

AU - Lee, P.

AU - Ells, AL.

AU - Holmes, JM.

AU - Astle, WF.

AU - Balasubramanian, M.

AU - Capone, A.

AU - Hartnett, ME.

AU - Pignatto, S.

AU - Trese, MT.

AU - Chiang, MF.

AU - Keenan, JD.

AU - Starren, J.

AU - Wu, C.

AU - Petersen, RA.

AU - VanderVeen, DK.

AU - Silva, RA.

AU - Murakami, Y.

AU - Jain, A.

AU - Gandhi, J.

AU - Lad, EM.

AU - Moshfeghi, DM.

AU - Quinn, GE.

AU - Ying, GS.

AU - Daniel, E.

AU - Conlin, PR.

AU - Fisch, BM.

AU - Orcutt, JC.

AU - Hetrick, BJ.

AU - Darkins, AW.

AU - Fransen, SR.

AU - Leonard-Martin, TC.

AU - Feuer, WJ.

AU - Hildebrand, PL.

AU - Zimmer-Galler, I.

AU - Zeimer, R.

AU - Wallace, DK.

AU - Quinn, GE.

AU - Freedman, SF.

AU - Chiang, MF.

AU - Kemper, AR.

AU - Wallace, DK.

AU - Quinn, GE.

AU - Field, M.

AU - Chiang, MF.

AU - Melia, M.

AU - Buffenn, AN.

AU - Schwartz, SD.

AU - Harrison, SA.

AU - Ferrone, PJ.

AU - Trese, MT.

AU - Lorenz, B.

AU - Spasovska, K.

AU - Elflein, H.

AU - Schneider, N.

AU - Silva, RA.

AU - Murakami, Y.

AU - Lad, EM.

AU - Moshfeghi, DM.

AU - Chiang, MF.

AU - Wang, L.

AU - Busuioc, M.

AU - Dhaliwal, C.

AU - Wright, E.

AU - Graham, C.

AU - McIntosh, N.

AU - Fleck, BW.

AU - Dai, S.

AU - Chow, K.

AU - Vincent, A.

AU - Koreen, S.

AU - Lopez, R.

AU - Jokl, DH.

AU - Flynn, JT.

AU - Chiang, MF.

AU - Mehta, M.

AU - Adams, GG.

AU - Bunce, C.

AU - Xing, W.

AU - Hill, M.

AU - Mukherjee, AN.

AU - Watts, P.

AU - Al-Madfai, H.

AU - Manoj, B.

AU - Roberts, D.

AU - Fierson, WM.

PY - 2015/1

Y1 - 2015/1

N2 - Retinopathy of prematurity (ROP) remains a significant threat to vision for extremely premature infants despite the availability of therapeutic modalities capable, in most cases, of managing this disorder. It has been shown in many controlled trials that application of therapies at the appropriate time is essential to successful outcomes in premature infants affected by ROP. Bedside binocular indirect ophthalmoscopy has been the standard technique for diagnosis and monitoring of ROP in these patients. However, implementation of routine use of this screening method for at-risk premature infants has presented challenges within our existing care systems, including relative local scarcity of qualified ophthalmologist examiners in some locations and the remote location of some NICUs. Modern technology, including the development of wide-angle ocular digital fundus photography, coupled with the ability to send digital images electronically to remote locations, has led to the development of telemedicine-based remote digital fundus imaging (RDFI-TM) evaluation techniques. These techniques have the potential to allow the diagnosis and monitoring of ROP to occur in lieu of the necessity for some repeated on-site examinations in NICUs. This report reviews the currently available literature on RDFI-TM evaluations for ROP and outlines pertinent practical and risk management considerations that should be used when including RDFI-TM in any new or existing ROP care structure.

AB - Retinopathy of prematurity (ROP) remains a significant threat to vision for extremely premature infants despite the availability of therapeutic modalities capable, in most cases, of managing this disorder. It has been shown in many controlled trials that application of therapies at the appropriate time is essential to successful outcomes in premature infants affected by ROP. Bedside binocular indirect ophthalmoscopy has been the standard technique for diagnosis and monitoring of ROP in these patients. However, implementation of routine use of this screening method for at-risk premature infants has presented challenges within our existing care systems, including relative local scarcity of qualified ophthalmologist examiners in some locations and the remote location of some NICUs. Modern technology, including the development of wide-angle ocular digital fundus photography, coupled with the ability to send digital images electronically to remote locations, has led to the development of telemedicine-based remote digital fundus imaging (RDFI-TM) evaluation techniques. These techniques have the potential to allow the diagnosis and monitoring of ROP to occur in lieu of the necessity for some repeated on-site examinations in NICUs. This report reviews the currently available literature on RDFI-TM evaluations for ROP and outlines pertinent practical and risk management considerations that should be used when including RDFI-TM in any new or existing ROP care structure.

KW - NICU

KW - bedside binocular indirect ophthalmoscopy

KW - ophthalmology

KW - preterm infants

KW - remote digital fundus imagine

KW - retinopathy of prematurity

KW - telemedicine

U2 - 10.1542/peds.2014-0978

DO - 10.1542/peds.2014-0978

M3 - Chapter

C2 - 25548330

SN - 0031-4005

T3 - Pediatrics

SP - e238-54

BT - Pediatrics

PB - American Academy of Pediatrics

ER -

Fierson WM, Capone A, American Academy of Pediatrics Section on Ophthalmology AMERICANACADEMYOFOPHTHALMOLOGYAAMERICANASSOCIATIONOFCERTIFIEDORTHOPTISTS, American Academy of Ophthalmology, American Association of Certified Orthoptists PG, Du L, Gilbert C et al. Telemedicine for evaluation of retinopathy of prematurity. In Pediatrics. American Academy of Pediatrics. 2015. p. e238-54. (Pediatrics). doi: 10.1542/peds.2014-0978

Telemedicine for evaluation of retinopathy of prematurity.

Abstract

Publication series

Keywords

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