中国斜视与小儿眼科杂志2017，Vol.25Issue(3)：15-17,6,中插6,5.DOI:10.3969/J.ISSN.1005-328X.2017.03.004
Optomed手持式数码相机在早产儿视网膜病变筛查中的临床应用
Clinical application of Optomed handheld digital camera in the screening of retinopathy of prematurity
叶海昀 1王斯颖 1李苑 1乔彤1
作者信息
- 1. 200062 上海市儿童医院 上海交通大学附属儿童医院
- 折叠
摘要
Abstract
Objective To compare and discuss the application of OPTOMED handheld digital camera (Optomed Smartscope, OS) and RetCam digital retina imaging system (RetCam Ⅲ, RC) in screening retinopathy of prematurity (ROP). Methods 807 infants (1614 eyes) with 31.72W (24～36W) and mean birth weight of 1691.72g (620～2490g) were enrolled in the ROP screening in Shanghai Children's Hospital during 2015～2016 years. All newborns were performed OPTOMED handheld camera (OS group) and RetCam (RC group), using binocular indirect ophthalmoscope detection as the standard control. The screening results of the two methods were compared by assessing the positive ROP screening rate and the range of fundus observation.Results In 807 cases of premature infants, 32 cases (49 eyes, 3.04％) were positive for ROP screening, and the lesions in 22 cases (33 eyes, 31.25％) were subsided during regularly follow-up (2～8 weeks). Among the patients with positive ROP screening, 5 cases (10 eyes) were positive in Zone Ⅰ Phase 3 complicated with Plus disease, 9 cases (11 eyes) in Zone Ⅱ Phase 3, 18 cases (28 eyes) in Zone Ⅲ. Results in RC group (ROP positive in 32 cases, 49 eyes) was coincident with binocular indirect ophthalmoscope results, the sensitivity was 100％. OS group results were: ROP positive in 30 cases (47 eyes), the sensitivity was 93.75％ (Youden index was 0.94), false negative in 2 cases (2 eyes) which were Zone Ⅲ Phase 1 and thelesion subsided during follow-up.Conclusion Using OPTOMED handheld digital camerafor neonatal ROP fundus screening is a safe and effective examination method, which provides more choice for clinical preterm infants ROP screening.关键词
手持式数码相机/ROP/筛查Key words
Handheld digital camera/ROP/Screening引用本文复制引用
叶海昀,王斯颖,李苑,乔彤..Optomed手持式数码相机在早产儿视网膜病变筛查中的临床应用[J].中国斜视与小儿眼科杂志,2017,25(3):15-17,6,中插6,5.
