Long-term visual outcomes of children screened for retinopathy of prematurity with telemedicine in New Zealand.

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dc.contributor.author Simkin, Samantha K
dc.contributor.author Kersten, Hannah M
dc.contributor.author Misra, Stuti L
dc.contributor.author McGhee, Charles Nj
dc.contributor.author Dai, Shuan
dc.coverage.spatial United States
dc.date.accessioned 2022-06-10T01:40:09Z
dc.date.available 2022-06-10T01:40:09Z
dc.date.issued 2022-04-04
dc.identifier.citation (2022). Clinical and Experimental Optometry, 1-6.
dc.identifier.issn 0816-4622
dc.identifier.uri https://hdl.handle.net/2292/59693
dc.description.abstract <h4>Clinical relevance</h4>Children with a history of regressed retinopathy of prematurity (ROP) are at increased risk of peripheral avascular retina. Wide-field digital retinal imaging and telemedicine is an effective tool for ROP screening. Ophthalmologists and Optometrists should have a high level of clinical suspicion for peripheral retinal changes in children screened for ROP.<h4>Background</h4>Retinopathy of prematurity, a vaso-proliferative disorder of the pre-term retina, is a preventable cause of childhood visual impairment. The Auckland Regional Telemedicine ROP (ART-ROP) network, established in 2006, utilises wide-field digital imaging and telemedicine to screen at-risk infants for ROP. This prospective observational study reports the long-term ocular outcomes of ART-ROP network infants.<h4>Methods</h4>A comprehensive paediatric eye examination including cycloplegic autorefraction and wide-field retinal imaging was completed on all participants. Participants had been screened for ROP by the ART-ROP network between May 2008 and October 2011.<h4>Results</h4>A total of 69 children, with a mean age of 5 to 8 years old were assessed and divided into two groups: those with or without a history of ROP, 44 and 25 children, respectively. Infants with a history of ROP had significantly lower gestational age (26.6 ± 1.9 vs. 29.1 ± 1.6 weeks, <i>p</i> < 0.001) and birth weight (937 ± 237 vs. 1177 ± 311 grams, <i>p</i> = 0.001). No significant differences were detected between the two groups for visual acuity (<i>p</i> = 0.596), stereopsis (<i>p</i> = 0.219), refractive error (<i>p</i> = 0.472), or strabismus. Clinically significant refractive error was noted in 10 participants; none with moderate or high myopia. Retinal imaging exposed asymptomatic, persistent, peripheral avascular retina in four children, all of whom had a history of regressed ROP.<h4>Conclusion</h4>Visual and ocular outcomes did not vary based on history of ROP, with no participant having reduced vision as a result of undetected or untreated ROP. Further research is required into the long-term implication of persistent avascular retina in regressed ROP.
dc.description.uri https://www.aaopt.org/detail/knowledge-base-article/long-term-visual-outcomes-of-children-screened-for-retinopathy-of-prematurity-with-telemedicine-in-auckland-new-zealand
dc.format.medium Print-Electronic
dc.publisher Informa UK Limited
dc.relation.ispartof American Academy of Optometry Annual Meeting
dc.relation.ispartofseries Clinical & experimental optometry
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher.
dc.rights.uri https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm
dc.subject Avascular retina
dc.subject Retinopathy of prematurity
dc.subject Screening
dc.subject Telemedicine
dc.subject Neurosciences
dc.subject Clinical Research
dc.subject Preterm, Low Birth Weight and Health of the Newborn
dc.subject Rare Diseases
dc.subject Eye Disease and Disorders of Vision
dc.subject Infant Mortality
dc.subject Perinatal Period - Conditions Originating in Perinatal Period
dc.subject Pediatric
dc.subject Eye
dc.subject 02 Physical Sciences
dc.subject 11 Medical and Health Sciences
dc.title Long-term visual outcomes of children screened for retinopathy of prematurity with telemedicine in New Zealand.
dc.type Conference Item
dc.identifier.doi 10.1080/08164622.2022.2053329
pubs.begin-page 1
dc.date.updated 2022-05-23T22:31:08Z
dc.rights.holder Copyright: The author en
dc.identifier.pmid 35378056 (pubmed)
pubs.author-url https://www.ncbi.nlm.nih.gov/pubmed/35378056
pubs.end-page 6
pubs.finish-date 2017-10-14
pubs.publication-status Published
pubs.start-date 2017-10-11
dc.rights.accessrights http://purl.org/eprint/accessRights/RetrictedAccess en
pubs.subtype Conference Paper
pubs.elements-id 716901
pubs.org-id Medical and Health Sciences
pubs.org-id School of Medicine
pubs.org-id Ophthalmology Department
pubs.org-id Optometry and Vision Science
dc.identifier.eissn 1444-0938
pubs.record-created-at-source-date 2022-05-24
pubs.online-publication-date 2022-04-04


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