Abstract Purpose: A multicentered Sicilian Itinerant RetCam Project (SIRP) was conducted between October 2008 and November 2009. The Department of Ophthalmology of the University of Catania was the Reference Center. The project included 5 Neonatal Intensive Care Units in Sicily (NICU). Methods: All premature babies born in participating NICUs were examined using a telemedicine approach and a RetCam Shuttle (RCs) (Clarity Medical Systems) to train the ophthalmologist with no experience in the treatment of Retinopathy of Prematurity. Results: 366 neonates were examined over a 13 month period. The incidence of ROP Stage III Threshold (T) for the babies with a gestational age below 29 weeks was 9.53% and 0.33% for babies above 29 weeks. The incidence of ROP III T in babies with a birth weight lower than 1000 grams was 12.06%. No signs of ROP III T were detected for those who weighed above 1000 grams. Seven out of 366 premature neonates (1.9%) required treatment and were treated successfully (100%). The percentage of correct diagnoses made by the NICU ophthalmologists and validated by the reference center specialists increased gradually over time. The result between the third and the fourth quarter vs the first one was chi squared p = 0.029 and p=0.001 respectively. False positives and negatives dropped significantly in the fourth quarter vs the first one with a chi square respectively of p=0.007 and of p=0001. Conclusion: This study has demonstrated high reliability for identification of the cases of ROP requiring treatment. There were no adverse outcomes.

ROP Screening with the RetCam Shuttle: Sicilian Project

REIBALDI, MICHELE;Andrea Russo;
2012

Abstract

Abstract Purpose: A multicentered Sicilian Itinerant RetCam Project (SIRP) was conducted between October 2008 and November 2009. The Department of Ophthalmology of the University of Catania was the Reference Center. The project included 5 Neonatal Intensive Care Units in Sicily (NICU). Methods: All premature babies born in participating NICUs were examined using a telemedicine approach and a RetCam Shuttle (RCs) (Clarity Medical Systems) to train the ophthalmologist with no experience in the treatment of Retinopathy of Prematurity. Results: 366 neonates were examined over a 13 month period. The incidence of ROP Stage III Threshold (T) for the babies with a gestational age below 29 weeks was 9.53% and 0.33% for babies above 29 weeks. The incidence of ROP III T in babies with a birth weight lower than 1000 grams was 12.06%. No signs of ROP III T were detected for those who weighed above 1000 grams. Seven out of 366 premature neonates (1.9%) required treatment and were treated successfully (100%). The percentage of correct diagnoses made by the NICU ophthalmologists and validated by the reference center specialists increased gradually over time. The result between the third and the fourth quarter vs the first one was chi squared p = 0.029 and p=0.001 respectively. False positives and negatives dropped significantly in the fourth quarter vs the first one with a chi square respectively of p=0.007 and of p=0001. Conclusion: This study has demonstrated high reliability for identification of the cases of ROP requiring treatment. There were no adverse outcomes.
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/20.500.11769/14075
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