Телемедицина в скрининге, диагностике и лечении активной ретинопатии недоношенных

Abstract

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.