Copyright 2002 American Medical Association. All Rights Reserved.
Applicable FARS/DFARS Restrictions Apply to Government Use.2002
Screening for retinopathy of prematurity (ROP) is currently undertaken
by experienced ophthalmologists using indirect ophthalmoscopy. However, the
proportion of screened infants requiring treatment is very low; only 6% of
infants who weigh less than 1251 g reached the threshold for treatment in
the Cryotherapy for Retinopathy of Prematurity Study,1
and fewer than 2% of infants in an audit of screening practices in the United
Kingdom required treatment.2 Such a low
treatment yield represents a massive funnel effect. This is probably not an
appropriate use of expensive ophthalmic expertise in the United States or
the United Kingdom and even more so in countries where such expertise is sparse.
Fielder AR, Cocker KD, Capone A, Trese MT, . Screening for Retinopathy of Prematurity Using Wide-Field Digital Retinal Imaging: Sensitivity and Specificity. Arch Ophthalmol. 2002;120(9):1234. doi: