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September 2002

Screening for Retinopathy of Prematurity Using Wide-Field Digital Retinal Imaging: Sensitivity and Specificity

Alistair R. Fielder, FRCP, FRCS, FRCOphth; Kenneth D. Cocker, MSc; Antonio Capone Jr, MD; et al Michael T. Trese, MD; For the ROP Photographic Screening Trial (Photo-ROP) Study Group
Arch Ophthalmol. 2002;120(9):1234. doi:

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.

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