Non-contact retinal imaging compared to indirect ophthalmoscopy for retinopathy of prematurity screening: infant safety profile.

Journal Article (Journal Article)

OBJECTIVE: Most retinopathy of prematurity screening involves an ophthalmologist performing indirect ophthalmoscopy, which can be stressful to infants. The purpose of this study is to evaluate the safety profile (using cardiopulmonary events as an indicator) of imaging infants with a non-contact retinal camera compared to examining them using indirect ophthalmoscopy. STUDY DESIGN: Prospective cohort study of 99 infants at a community hospital who were examined using indirect ophthalmoscopy and imaged using a non-contact retinal camera for retinopathy of prematurity. We evaluated the difference in the occurrence of safety events (i.e., clinically significant bradycardia, tachycardia, oxygen desaturation, or apnea) following the clinical examination versus retinal imaging. RESULT: Safety events occurred after 0.8% (n = 1) of imaging sessions and 5.8% (n = 18) of clinical examinations (mean difference = -0.055 (p = 0.015), favoring imaging). CONCLUSION: Retinal imaging with a non-contact camera was well tolerated and less stressful to infants compared to indirect ophthalmoscopy by an ophthalmologist.

Full Text

Duke Authors

Cited Authors

  • Prakalapakorn, SG; Stinnett, SS; Freedman, SF; Wallace, DK; Riggins, JW; Gallaher, KJ

Published Date

  • September 2018

Published In

Volume / Issue

  • 38 / 9

Start / End Page

  • 1266 - 1269

PubMed ID

  • 29961763

Pubmed Central ID

  • PMC6425275

Electronic International Standard Serial Number (EISSN)

  • 1476-5543

Digital Object Identifier (DOI)

  • 10.1038/s41372-018-0160-5


  • eng

Conference Location

  • United States