Fundus Photographic Screening of ROP
Ultra-wide-angle (120°) fundus photography of premature infant eyes is very useful for documenting the findings, for assessing any progression, and for use in fundus photographic screening. Remote screening of photographic fundus images has established itself as an efficient and cost-effective method for screening premature infants for ROP. A study by the Photographic Screening for Retinopathy of Prematurity (Photo-ROP) Cooperative Group concluded that remote interpretation of weekly digital fundus images was a useful adjunct to conventional bedside ROP screening by indirect ophthalmoscopy. The study also concluded that because of limitations of image quality in some cases, there continues to be a need for the availability of an ophthalmologist skilled at examining premature infant eyes. In addition, the study established that if clinically significant ROP or treatment requiring ROP (Table 8-3) is present, an evaluation by an ophthalmologist for assessment and possible treatment is warranted.
Excerpted from BCSC 2020-2021 series: Section 10 - Glaucoma. For more information and to purchase the entire series, please visit https://www.aao.org/bcsc.