Effects of two screening models for eye diseases in premature infants

AIM:To investigate and compare the application of two screening models in the detection of retinopathy of prematurity(ROP). <p>METHODS: The clinical data of 600 premature infants(1200 eyes)who underwent screening of eye diseases in the Department of Ophthalmology during the period from January...

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Main Authors: Hai-Bo Lin, Wen-Lin Li, Xiao Zhuo, Ai-Qun He, Mu-Dan Chen
Format: Article
Language:English
Published: Press of International Journal of Ophthalmology (IJO PRESS) 2018-02-01
Series:Guoji Yanke Zazhi
Subjects:
Online Access:http://www.ijo.cn/cn_publish/2018/3/201803048.pdf
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author Hai-Bo Lin
Wen-Lin Li
Xiao Zhuo
Ai-Qun He
Mu-Dan Chen
author_facet Hai-Bo Lin
Wen-Lin Li
Xiao Zhuo
Ai-Qun He
Mu-Dan Chen
author_sort Hai-Bo Lin
collection DOAJ
description AIM:To investigate and compare the application of two screening models in the detection of retinopathy of prematurity(ROP). <p>METHODS: The clinical data of 600 premature infants(1200 eyes)who underwent screening of eye diseases in the Department of Ophthalmology during the period from January 2016 to January 2017 were analyzed retrospectively. The fundus lesions were examined with binocular indirect ophthalmoscope(BIO)and the third generation of wide-angle digital retinal imaging system(RetCam III). The examination results and adverse events during operation were statistically analyzed. <p>RESULTS: In 1200 eyes of 600 patients, the probabilities of ROP detected by BIO and RetCam III were 10.92% and 10.75%, respectively(<i>P</i>>0.05). With BIO as the golden standard, the accuracy, sensitivity, specificity, positive predictive value and negative predictive value of RetCam III in examining ROP were 98.67%, 93.13%, 99.35%, 94.57% and 99.16%, respectively. There was no significant difference in the stage of ROP detected by BIO or RetCam III(<i>P</i>>0.05). The probabilities of non-ROP lesions examined by BIO and RetCam III were 4.83% and 4.58%, respectively(<i>P</i>>0.05). With BIO as the golden standard, the accuracy, sensitivity, specificity, positive predictive value and negative predictive value of RetCam III in examining fundus non-ROP diseases were 99.67%, 94.83%, 99.91%, 98.21% and 99.74%, respectively. During the screening of BIO and RetCam III, there were 17 cases(2.83%)and 7 cases(1.17%)with adverse events, respectively(<i>P</i><0.05). <p>CONCLUSION: The examination results of RetCam III are basically the same as those of BIO for ROP and non-ROP diseases. However, RetCam III has more advantages in reducing adverse events during operation.
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spelling doaj.art-86c0f49dd52540e7a6e9b321a003b4a02022-12-22T00:13:46ZengPress of International Journal of Ophthalmology (IJO PRESS)Guoji Yanke Zazhi1672-51231672-51232018-02-0118359659810.3980/j.issn.1672-5123.2018.3.48Effects of two screening models for eye diseases in premature infantsHai-Bo Lin0Wen-Lin Li1Xiao Zhuo2Ai-Qun He3Mu-Dan Chen4Department of Ophthalmology, Central Hospital of Longhua District, Shenzhen 518110, Guangdong Province, ChinaDepartment of Ophthalmology, Central Hospital of Longhua District, Shenzhen 518110, Guangdong Province, ChinaDepartment of Ophthalmology, Central Hospital of Longhua District, Shenzhen 518110, Guangdong Province, ChinaDepartment of Ophthalmology, Central Hospital of Longhua District, Shenzhen 518110, Guangdong Province, ChinaDepartment of Ophthalmology, Central Hospital of Longhua District, Shenzhen 518110, Guangdong Province, ChinaAIM:To investigate and compare the application of two screening models in the detection of retinopathy of prematurity(ROP). <p>METHODS: The clinical data of 600 premature infants(1200 eyes)who underwent screening of eye diseases in the Department of Ophthalmology during the period from January 2016 to January 2017 were analyzed retrospectively. The fundus lesions were examined with binocular indirect ophthalmoscope(BIO)and the third generation of wide-angle digital retinal imaging system(RetCam III). The examination results and adverse events during operation were statistically analyzed. <p>RESULTS: In 1200 eyes of 600 patients, the probabilities of ROP detected by BIO and RetCam III were 10.92% and 10.75%, respectively(<i>P</i>>0.05). With BIO as the golden standard, the accuracy, sensitivity, specificity, positive predictive value and negative predictive value of RetCam III in examining ROP were 98.67%, 93.13%, 99.35%, 94.57% and 99.16%, respectively. There was no significant difference in the stage of ROP detected by BIO or RetCam III(<i>P</i>>0.05). The probabilities of non-ROP lesions examined by BIO and RetCam III were 4.83% and 4.58%, respectively(<i>P</i>>0.05). With BIO as the golden standard, the accuracy, sensitivity, specificity, positive predictive value and negative predictive value of RetCam III in examining fundus non-ROP diseases were 99.67%, 94.83%, 99.91%, 98.21% and 99.74%, respectively. During the screening of BIO and RetCam III, there were 17 cases(2.83%)and 7 cases(1.17%)with adverse events, respectively(<i>P</i><0.05). <p>CONCLUSION: The examination results of RetCam III are basically the same as those of BIO for ROP and non-ROP diseases. However, RetCam III has more advantages in reducing adverse events during operation.http://www.ijo.cn/cn_publish/2018/3/201803048.pdfretinopathy of prematurityindirect ophthalmoscopewide-angle digital retinal imaging systemwide-angle digital retinal imaging system
spellingShingle Hai-Bo Lin
Wen-Lin Li
Xiao Zhuo
Ai-Qun He
Mu-Dan Chen
Effects of two screening models for eye diseases in premature infants
Guoji Yanke Zazhi
retinopathy of prematurity
indirect ophthalmoscope
wide-angle digital retinal imaging system
wide-angle digital retinal imaging system
title Effects of two screening models for eye diseases in premature infants
title_full Effects of two screening models for eye diseases in premature infants
title_fullStr Effects of two screening models for eye diseases in premature infants
title_full_unstemmed Effects of two screening models for eye diseases in premature infants
title_short Effects of two screening models for eye diseases in premature infants
title_sort effects of two screening models for eye diseases in premature infants
topic retinopathy of prematurity
indirect ophthalmoscope
wide-angle digital retinal imaging system
wide-angle digital retinal imaging system
url http://www.ijo.cn/cn_publish/2018/3/201803048.pdf
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