Register for email alerts and news feeds:
This journal | BMJ Group
rss
Published Online First: 14 August 2008. doi:10.1136/bjo.2008.138867
British Journal of Ophthalmology 2008;92:1456-1460
Copyright © 2008 by the BMJ Publishing Group Ltd.

ORIGINAL ARTICLES

Stanford University Network for Diagnosis of Retinopathy of Prematurity (SUNDROP): 12-month experience with telemedicine screening

Y Murakami, A Jain, R A Silva, E M Lad, J Gandhi and D M Moshfeghi

Department of Ophthalmology, Stanford University School of Medicine, Stanford, California, USA

Correspondence to:
Dr D M Moshfeghi, Stanford University, 1225 Crane Street, Suite 202, Menlo Park, CA 94025, USA; dariusm{at}stanford.edu

Background/aims: To report the 1-year experience of the Stanford University Network for Diagnosis of Retinopathy of Prematurity (SUNDROP) telemedicine initiative.

Methods: Forty-two consecutively enrolled infants who met ROP examination criteria were screened between 1 December 2005 through 30 November 2006 with the RetCam II and evaluated by the SUNDROP reading centre at Stanford University. Nurses obtained five images in each eye. All patients also received a dilated examination by the author within 1 week of discharge from the hospital. Outcomes included referral-warranted disease, need for treatment and anatomical outcomes. Referral-warranted disease was defined as any Early Treatment Retinopathy of Prematurity (ROP) Disease Type 2 or greater, or any plus disease. A retrospective analysis of 84 eyes, 131 unique examinations and 1315 unique images from the SUNDROP archival data is reported here.

Results: In the initial 12-month period, the SUNDROP telemedicine screening initiative had not missed any referral warranted ROP. Calculated sensitivity and specificity was 100% and 95%, respectively. No patient progressed to retinal detachment or other adverse outcomes.

Conclusions: The SUNDROP telemedicine screening initiative for ROP has proven to have a high degree of sensitivity and specificity for identification of referral warranted disease. These results indicate that telemedicine may improve accessibility of ROP screening.


Add to CiteULike CiteULike   Add to Complore Complore   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati    What's this?

Relevant Article

At a glance
Harminder S Dua and Arun D Singh
Br. J. Ophthalmol. 2008 92: 1. [Extract] [Full Text] [PDF]

This article has been cited by other articles:

  • Wallace, D. K., El-Dairi, M., Freedman, S. F. (2009). Technological Advances in Pediatric Eye Care. Arch Ophthalmol 127: 805-806 [Full Text]  

This Article

Services
Citing Articles
Google Scholar
PubMed
Topic Collections
Bookmark with

Register for free content

The full back archive is now available for all BMJ Journals. Institutional subscribers may access the entire archive as part of their subscription. Personal subscribers will also have access to all content when logged in. Non-subscribers who register have free access to all articles published before 2006 right back to volume 1 issue 1. Register here to access the free archive of all BMJ Journals.

Don't forget to sign up for content alerts so you keep up to date with all the articles as they are published.

Ophthalmology Jobs

Ophthalmology Jobs