Офтальмохирургия. 2017; : 73-77
ТЕЛЕМЕДИЦИНА В СКРИНИНГЕ, ДИАГНОСТИКЕ И ЛЕЧЕНИИ АКТИВНОЙ РЕТИНОПАТИИ НЕДОНОШЕННЫХ
https://doi.org/10.25276/0235-4160-2017-2-73-77Аннотация
В обзоре литературы представлены сведения по применению особого исследовательского и клинического инструмента – телемедицины в офтальмологии. На основе данных целого ряда исследований показана важность телемедицинских сервисов для раннего выявле- ния и своевременного лечения такого заболевания, как ретинопатия недоношенных (РН).
Во многих работах отмечается ценность ретинальных педиатрических систем RetCam и получаемых с их помощью цифровых изображений глазного дна для скрининга, диагностики и определения тактики ведения пациентов с РН посредством телемедицинских технологий. Это, по мнению многих исследователей, способствует своевременному выявлению детей со стадиями заболевания, требующими консультации офтальмолога и лечения, и направлению их в профильные клиники. При этом демонстрируется высокая точность интерпретации изображений глазного дна в ходе телемедицинского скрининга.
Иностранные авторы отмечают значительную экономическую эффективность телемедицины РН по сравнению со стандартными диагностическими методами, такими как проведение непрямой бинокулярной офтальмоскопии при непосредственной консультации пациента врачом-офтальмологом, также ими отмечено, что применение данной технологии способствует сокращению затрат времени врачей-офтальмологов, занимающихся ведением пациентов с РН.
По данным различных авторов, заболеваемость РН во всем мире продолжает расти, и использование телемедицины для скрининга, диагностики и обучения медицинского персонала будет приобретать все большее значение в организации офтальмологической помощи недоношенным детям.
На сегодняшний день в отечественной детской офтальмологии тема телемедицины РН находит отражение лишь в единичных публикациях. Однако данное направление начинает активно развиваться и является одним из самых перспективных инструментов в решении проблемы ретинопатии недоношенных в российской педиатрической офтальмологической практике.
Список литературы
1. Трезе М.Т., Денисова Е.В., Катаргина Л.А. Телемедицина с применением современного программного обеспечения для диагностики ретинопатии недоношенных: перспективы применения // Российская педиатрическая офтальмология. – 2014. – № 2. – С. 5-8.
2. Трифаненкова И.Г., Терещенко А.В., Белый Ю.А. Телемедицинские технологии в ведении детей с активными стадиями ретинопатии недоношенных // Современные технологии в офтальмологии. – 2016. – Т. 11, № 3. – С. 242-245.
3. Черных В.В., Трунов А.Н. Опыт организации проведения фундаментально-прикладных исследований в условиях Новосибирского филиала ФГАУ «МНТК «Микрохирургия глаза» им. акад. С.Н. Федорова» Минздрава России // Современные технологии в офтальмологии. – 2016. – Т. 11, № 3. – С. 262-264.
4. Athikarisamy S., Patole S., Lam G. et al. Screening for retinopathy of prematurity (ROP) using wide-angle digital retinal photography by non-ophthalmologists: a systematic review // Br. J. Ophthalmol. – 2015. – Vol. 99, № 3. – P. 281-288.
5. Castillo-Riquelme M., Lord J., Moseley M. et al. Cost-effectiveness of digital photographic screening for retinopathy of prematurity in the United Kingdom // Int. J. Technol. Assess Health Care. – 2004. – Vol. 20, № 2. – P. 201-213.
6. Cernichiaro-Espinosa L., Olguin-Manriquez F., Henaine-Berra A. et al. New insights in diagnosis and treatment for Retinopathy of Prematurity // Int. Ophthalmol. – 2016. – № 14 [Epub ahead of print].
7. Chiang M., Keenan J., Starren J. Accuracy and reliability of remote retinopathy of prematurity diagnosis // Arch. Ophthalmol. – 2006. – Vol. 124, № 3. – P. 322-327.
8. Chiang M., Starren J., Du Y. et al. Remote image based retinopathy of prematurity diagnosis: a receiver operating characteristic analysis of accuracy // Br. J. Ophthalmol. – 2006. – Vol. 90, № 10. – P. 1292-1296.
9. Chiang M., Wang L., Busuioc M. Telemedical retinopathy of prematurity diagnosis: accuracy, reliability, and image quality // Arch. Ophthalmol. – 2007. – Vol. 125, № 11. – P. 1531-1538.
10. Ells A., Holmes J., Astle W. et al. Telemedicine approach to screening for severe retinopathy of prematurity: a pilot study // Ophthalmology. – 2003. – Vol. 110, № 11. – P. 2113-2117.
11. Fierson W., Capone A. American Academy of Pediatrics Section on Ophthalmology; American Academy of Ophthalmology, American Association of Certified Orthoptists. Telemedicine for evaluation of retinopathy of prematurity // Pediatrics. – 2015. – Vol. 135, № 1. – P. 238-254.
12. Fijalkowski N., Zheng L., Henderson M. Stanford University Network for diagnosis of Retinopathy of Prematurity (SUNDROP): four-years of screening with telemedicine // Curr. Eye Res. – 2013. – Vol. 38, № 2. – P. 283-291.
13. Graham E Quinn; e-ROP Cooperative Group. Telemedicine approaches to evaluating acute-phase retinopathy of prematurity: study design // Ophthalmic Epidemiol. – 2014. – Vol. 21, № 4. – P. 256-267.
14. Jackson K., Scott K., Graff Zivin J. Cost-utility analysis of telemedicine and ophthalmoscopy for retinopathy of prematurity management // Arch. Ophthalmol. – 2008. – Vol. 126, № 4. – P. 493-499.
15. Kandasamy Y., Smith R., Wright I., Hartley L. Use of digital retinal imaging in screening for retinopathy of prematurity // J. Paediatr. Child Health. – 2013. – Vol. 49, № 1. – P. 1-5.
16. Lorenz B. Current ophthalmic aspects of acute retinopathy of prematurity // Ophthalmologe. – 2008. – Vol. 105, № 12. – P. 1092-1100.
17. Lorenz B., Bock M., Müller H., Massie N. Telemedicine based screening of infants at risk for retinopathy of prematurity // Stud. Health Technol. Inform. – 1999. – Vol. 64. – P. 155-163.
18. Lorenz B., Spasovska K., Elflein H., Schneider N. Wide-field digital imaging based telemedicine for screening for acute retinopathy of prematurity (ROP). Six-year results of a multicentre field study // Graefes Arch. Clin. Exp. Ophthalmol. – 2009. – Vol. 247, № 9. – P. 1251-1262.
19. Murakami Y., Silva R., Jain A. et al. Stanford University Network for diagnosis of Retinopathy of Prematurity (SUNDROP): 24-month experience with telemedicine screening // Acta Ophthalmol. – 2010. – Vol. 88, № 3. – P. 317-322.
20. Ossandón D., Zanolli M., López J. Telemedicine correlation in retinopathy of prematurity between experts and non-expert observers // Arch. Soc. Esp. Oftalmol. – 2015. – Vol. 90, № 1. – P. 9-13.
21. Richter G., Sun G., Lee T. Speed of telemedicine vs ophthalmoscopy for retinopathy of prematurity diagnosis // Am. J. Ophthalmol. – 2009. – Vol. 148, № 1. – P. 136-142.
22. Salcone E., Johnston S., VanderVeen D. Review of the use of digital imaging in retinopathy of prematurity screening // Semin. Ophthalmol. – 2010. – Vol. 25, № 5-6. – P. 214-217.
23. Schwartz S., Harrison S., Ferrone P., Trese M. Telemedical evaluation and management of retinopathy of prematurity using a fiberoptic digital fundus camera // Ophthalmology. – 2000. – Vol. 107, № 1. – P. 25-28.
24. Seiberth V., Woldt C. Wide angle fundus documentation in retinopathy of prematurity // Ophthalmologe. – 2001. – Vol. 98, № 10. – P. 960-963.
25. Skalet A., Quinn G., Ying G. Telemedicine screening for retinopathy of prematurity in developing countries using digital retinal images: a feasibility project // J. AAPOS. – 2008. – Vol. 12, № 3. – P. 252-258.
26. Sreelatha O., Ramesh S. Teleophthalmology: improving patient outcomes? // Clin. Ophthalmol. – 2016. – Vol. 10, № 10. – P. 285-295.
27. Vinekar A., Jayadev C., Mangalesh S. et al. Role of tele-medicine in retinopathy of prematurity screening in rural outreach centers in India – a report of 20,214 imaging sessions in the KIDROP program // Semin. Fetal Neonatal Med. – 2015. – Vol. 20, № 5. – P. 335-345.
28. Wang S., Callaway N., Wallenstein M. SUNDROP: six years of screening for retinopathy of prematurity with telemedicine // Can. J. Ophthalmol. – 2015. – Vol. 50, № 2. – P. 101-110.
29. Weaver D. Telemedicine for retinopathy of prematurity // Curr. Opin. Ophthalmol. – 2013. – Vol. 24, № 5. – P. 425-431.
30. Weaver D., Murdock T. Telemedicine detection of type 1 ROP in a distant neonatal intensive care unit // J. AAPOS. – 2012. – Vol. 16, № 3. – P. 229-233.
31. Yen K., Hess D., Burke B. Telephotoscreening to detect retinopathy of prematurity: preliminary study of the optimum time to employ digital fundus camera imaging to detect ROP // J AAPOS. – 2002. – Vol. 6, № 2. – P. 64-70.
32. Ying G., Quinn G., Wade K. Predictors for the development of referral-warranted retinopathy of prematurity in the telemedicine approaches to evaluating acute-phase retinopathy of prematurity (e-ROP) study // JAMA Ophthalmol. – 2015. – Vol. 133, № 3. – P. 304-311.
33. Yogesan K., Goldschmidt L., Cuadros J. Digital teleretinal screening. Teleophthalmology in practice [parts II and III]. – New York: Springer-Verlag, 2012. – 231 p.
Fyodorov Journal of Ophthalmic Surgery. 2017; : 73-77
TELEMEDICINE IN THE SCREENING, DIAGNOSIS AND TREATMENT OF ACTIVE RETINOPATHY OF PREMATURITY
https://doi.org/10.25276/0235-4160-2017-2-73-77Abstract
The literature review provides information on the use of special research and clinical tool – telemedicine in ophthalmology. The importance of telemedicine services for the early detection and timely treatment of such diseases as retinopathy of prematurity (ROP) is shown based on the data of a number of studies.
Many studies indicate the value of retinal pediatric system RetCam and digital images of the fundus obtained with their help for screening, diagnosis and tactics of patients with ROP via telemedicine technologies. This, according to many researchers, promotes the timely detection of children with the stages of the disease, requiring the consultation of ophthalmologists, treatment, and referring them to specialized clinics. Thereat this demonstrates a high accuracy of the interpretation of fundus images during the telemedicine screening.
Foreign authors note a significant economic efficiency of ROP telemedicine compared with the standard diagnostic methods, such as the indirect binocular ophthalmoscopy during the direct consultation of the patient by an ophthalmologist, they also noted that the use of this technology promotes to reduce time-consuming of ophthalmologists involved in the management of patients with ROP.
According to various authors, the incidence of ROP worldwide continues to grow, and the use of telemedicine for screening, diagnosis, and training of medical personnel will become increasingly important in the organization of eye care in preterm infants.
Nowadays the subject of ROP telemedicine is reflected in the national pediatric ophthalmology only in a few publications. However, this trend begins to develop rapidly and is one of the most promising tools to solve the problem of retinopathy of prematurity in Russian pediatric ophthalmic practice.
References
1. Treze M.T., Denisova E.V., Katargina L.A. Telemeditsina s primeneniem sovremennogo programmnogo obespecheniya dlya diagnostiki retinopatii nedonoshennykh: perspektivy primeneniya // Rossiiskaya pediatricheskaya oftal'mologiya. – 2014. – № 2. – S. 5-8.
2. Trifanenkova I.G., Tereshchenko A.V., Belyi Yu.A. Telemeditsinskie tekhnologii v vedenii detei s aktivnymi stadiyami retinopatii nedonoshennykh // Sovremennye tekhnologii v oftal'mologii. – 2016. – T. 11, № 3. – S. 242-245.
3. Chernykh V.V., Trunov A.N. Opyt organizatsii provedeniya fundamental'no-prikladnykh issledovanii v usloviyakh Novosibirskogo filiala FGAU «MNTK «Mikrokhirurgiya glaza» im. akad. S.N. Fedorova» Minzdrava Rossii // Sovremennye tekhnologii v oftal'mologii. – 2016. – T. 11, № 3. – S. 262-264.
4. Athikarisamy S., Patole S., Lam G. et al. Screening for retinopathy of prematurity (ROP) using wide-angle digital retinal photography by non-ophthalmologists: a systematic review // Br. J. Ophthalmol. – 2015. – Vol. 99, № 3. – P. 281-288.
5. Castillo-Riquelme M., Lord J., Moseley M. et al. Cost-effectiveness of digital photographic screening for retinopathy of prematurity in the United Kingdom // Int. J. Technol. Assess Health Care. – 2004. – Vol. 20, № 2. – P. 201-213.
6. Cernichiaro-Espinosa L., Olguin-Manriquez F., Henaine-Berra A. et al. New insights in diagnosis and treatment for Retinopathy of Prematurity // Int. Ophthalmol. – 2016. – № 14 [Epub ahead of print].
7. Chiang M., Keenan J., Starren J. Accuracy and reliability of remote retinopathy of prematurity diagnosis // Arch. Ophthalmol. – 2006. – Vol. 124, № 3. – P. 322-327.
8. Chiang M., Starren J., Du Y. et al. Remote image based retinopathy of prematurity diagnosis: a receiver operating characteristic analysis of accuracy // Br. J. Ophthalmol. – 2006. – Vol. 90, № 10. – P. 1292-1296.
9. Chiang M., Wang L., Busuioc M. Telemedical retinopathy of prematurity diagnosis: accuracy, reliability, and image quality // Arch. Ophthalmol. – 2007. – Vol. 125, № 11. – P. 1531-1538.
10. Ells A., Holmes J., Astle W. et al. Telemedicine approach to screening for severe retinopathy of prematurity: a pilot study // Ophthalmology. – 2003. – Vol. 110, № 11. – P. 2113-2117.
11. Fierson W., Capone A. American Academy of Pediatrics Section on Ophthalmology; American Academy of Ophthalmology, American Association of Certified Orthoptists. Telemedicine for evaluation of retinopathy of prematurity // Pediatrics. – 2015. – Vol. 135, № 1. – P. 238-254.
12. Fijalkowski N., Zheng L., Henderson M. Stanford University Network for diagnosis of Retinopathy of Prematurity (SUNDROP): four-years of screening with telemedicine // Curr. Eye Res. – 2013. – Vol. 38, № 2. – P. 283-291.
13. Graham E Quinn; e-ROP Cooperative Group. Telemedicine approaches to evaluating acute-phase retinopathy of prematurity: study design // Ophthalmic Epidemiol. – 2014. – Vol. 21, № 4. – P. 256-267.
14. Jackson K., Scott K., Graff Zivin J. Cost-utility analysis of telemedicine and ophthalmoscopy for retinopathy of prematurity management // Arch. Ophthalmol. – 2008. – Vol. 126, № 4. – P. 493-499.
15. Kandasamy Y., Smith R., Wright I., Hartley L. Use of digital retinal imaging in screening for retinopathy of prematurity // J. Paediatr. Child Health. – 2013. – Vol. 49, № 1. – P. 1-5.
16. Lorenz B. Current ophthalmic aspects of acute retinopathy of prematurity // Ophthalmologe. – 2008. – Vol. 105, № 12. – P. 1092-1100.
17. Lorenz B., Bock M., Müller H., Massie N. Telemedicine based screening of infants at risk for retinopathy of prematurity // Stud. Health Technol. Inform. – 1999. – Vol. 64. – P. 155-163.
18. Lorenz B., Spasovska K., Elflein H., Schneider N. Wide-field digital imaging based telemedicine for screening for acute retinopathy of prematurity (ROP). Six-year results of a multicentre field study // Graefes Arch. Clin. Exp. Ophthalmol. – 2009. – Vol. 247, № 9. – P. 1251-1262.
19. Murakami Y., Silva R., Jain A. et al. Stanford University Network for diagnosis of Retinopathy of Prematurity (SUNDROP): 24-month experience with telemedicine screening // Acta Ophthalmol. – 2010. – Vol. 88, № 3. – P. 317-322.
20. Ossandón D., Zanolli M., López J. Telemedicine correlation in retinopathy of prematurity between experts and non-expert observers // Arch. Soc. Esp. Oftalmol. – 2015. – Vol. 90, № 1. – P. 9-13.
21. Richter G., Sun G., Lee T. Speed of telemedicine vs ophthalmoscopy for retinopathy of prematurity diagnosis // Am. J. Ophthalmol. – 2009. – Vol. 148, № 1. – P. 136-142.
22. Salcone E., Johnston S., VanderVeen D. Review of the use of digital imaging in retinopathy of prematurity screening // Semin. Ophthalmol. – 2010. – Vol. 25, № 5-6. – P. 214-217.
23. Schwartz S., Harrison S., Ferrone P., Trese M. Telemedical evaluation and management of retinopathy of prematurity using a fiberoptic digital fundus camera // Ophthalmology. – 2000. – Vol. 107, № 1. – P. 25-28.
24. Seiberth V., Woldt C. Wide angle fundus documentation in retinopathy of prematurity // Ophthalmologe. – 2001. – Vol. 98, № 10. – P. 960-963.
25. Skalet A., Quinn G., Ying G. Telemedicine screening for retinopathy of prematurity in developing countries using digital retinal images: a feasibility project // J. AAPOS. – 2008. – Vol. 12, № 3. – P. 252-258.
26. Sreelatha O., Ramesh S. Teleophthalmology: improving patient outcomes? // Clin. Ophthalmol. – 2016. – Vol. 10, № 10. – P. 285-295.
27. Vinekar A., Jayadev C., Mangalesh S. et al. Role of tele-medicine in retinopathy of prematurity screening in rural outreach centers in India – a report of 20,214 imaging sessions in the KIDROP program // Semin. Fetal Neonatal Med. – 2015. – Vol. 20, № 5. – P. 335-345.
28. Wang S., Callaway N., Wallenstein M. SUNDROP: six years of screening for retinopathy of prematurity with telemedicine // Can. J. Ophthalmol. – 2015. – Vol. 50, № 2. – P. 101-110.
29. Weaver D. Telemedicine for retinopathy of prematurity // Curr. Opin. Ophthalmol. – 2013. – Vol. 24, № 5. – P. 425-431.
30. Weaver D., Murdock T. Telemedicine detection of type 1 ROP in a distant neonatal intensive care unit // J. AAPOS. – 2012. – Vol. 16, № 3. – P. 229-233.
31. Yen K., Hess D., Burke B. Telephotoscreening to detect retinopathy of prematurity: preliminary study of the optimum time to employ digital fundus camera imaging to detect ROP // J AAPOS. – 2002. – Vol. 6, № 2. – P. 64-70.
32. Ying G., Quinn G., Wade K. Predictors for the development of referral-warranted retinopathy of prematurity in the telemedicine approaches to evaluating acute-phase retinopathy of prematurity (e-ROP) study // JAMA Ophthalmol. – 2015. – Vol. 133, № 3. – P. 304-311.
33. Yogesan K., Goldschmidt L., Cuadros J. Digital teleretinal screening. Teleophthalmology in practice [parts II and III]. – New York: Springer-Verlag, 2012. – 231 p.
