Color fundus imaging in retinopathy of prematurity screening: Present and future

Indian J Ophthalmol. 2023 May;71(5):1777-1782. doi: 10.4103/IJO.IJO_2913_22.

Abstract

Advent of pediatric handheld fundus cameras like RetCam, 3netra Forus, and Phoenix ICON pediatric retinal camera has aided in effective screening of retinopathy of prematurity (ROP), especially in countries with limited number of trained specialists. Recent advent of various smartphone-based cameras has made pediatric fundus photography furthermore affordable and portable. Future advances like ultra-wide field fundus cameras, trans-pars-planar illumination pediatric fundus camera, artificial intelligence, deep learning algorithm, and handheld SS-OCTA can help in more accurate imaging and documentation. This article summarizes the features of existing and upcoming imaging modalities in detail, including their features, advantages, challenges, and effectiveness, which can help in implementation of telescreening as a standard screening protocol for ROP across developing as well as developed countries.

Keywords: 3netraneo; RetCam; can break it into artificial intelligence; deep learning algorithm hand held OCTA; fundus photography; retinopathy of prematurity; smartphone-based fundus cameras; trans-pars-planar illumination pediatric fundus camera; ultra-wide field fundus camera (Optos); video indirect ophthalmoscopy.

Publication types

  • Review

MeSH terms

  • Artificial Intelligence
  • Child
  • Diagnostic Techniques, Ophthalmological
  • Fluorescein Angiography
  • Fundus Oculi
  • Humans
  • Infant, Newborn
  • Ophthalmoscopy / methods
  • Photography / methods
  • Retinopathy of Prematurity* / diagnosis