Comparison of ultrasonic and ophthalmoscopic evaluation of retinopathy of prematurity

Danny H Kauffmann Jokl, Ronald H. Silverman, Alan D. Springer, Helen Towers, Steven Kane, Robert Lopez, Michael Chiang, Harriet O. Lloyd, Irene Barbazetto, Robyn Horowitz, Orit Vidne

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Purpose: Screening for detection of retinopathy of prematurity (ROP) currently is limited to indirect ophthalmoscopy, which requires considerable examiner skill and experience. We investigated whether conventional 10 MHz B-scan ultrasonography could document the clinical stages of ROP as accurately as indirect ophthalmoscopy. Methods: Thirty-four eyes of 18 neonates were examined by masked, independent observers with indirect ophthalmoscopy and digitally recorded 10-MHz B-scan ultrasonography. After pupil dilation and lid speculum placement, the retinologist recorded the stage of retinopathy with a retinal drawing. The ultrasonographer, without use of papillary mydriatics or lid speculum, determined the presence or absence of a ridge or tractional elements, if present on the ridge. Results: Ultrasound grade correlated with clinical grade (R = .79, P <.001). However, nine eyes were overdiagnosed by one stage, and one eye, in which a peripheral detachment was mistaken for an artifact, was underdiagnosed. Conclusions: Ten-megahertz ultrasonography offers the potential of imaging and detecting the clinical stages of ROP; the use of higher ultrasound frequencies, now becoming commercially available, is likely to enhance diagnostic accuracy. Care must be taken to distinguish between artifact and true anatomical structures in noncontact ultrasound examinations. Neonates with suspected ROP could be screened with B-scan ultrasonography by neonatal personnel without pupillary dilatation or lid speculum, thus eliminating potential morbidity, and clinically significant cases of ROP then could be referred to the retinologist.

Original languageEnglish (US)
Pages (from-to)345-350
Number of pages6
JournalJournal of Pediatric Ophthalmology and Strabismus
Volume41
Issue number6
StatePublished - Nov 2004
Externally publishedYes

Fingerprint

Retinopathy of Prematurity
Ultrasonics
Ophthalmoscopy
Ultrasonography
Surgical Instruments
Artifacts
Dilatation
Mydriatics
Pupil
Morbidity

ASJC Scopus subject areas

  • Ophthalmology
  • Pediatrics, Perinatology, and Child Health

Cite this

Jokl, D. H. K., Silverman, R. H., Springer, A. D., Towers, H., Kane, S., Lopez, R., ... Vidne, O. (2004). Comparison of ultrasonic and ophthalmoscopic evaluation of retinopathy of prematurity. Journal of Pediatric Ophthalmology and Strabismus, 41(6), 345-350.

Comparison of ultrasonic and ophthalmoscopic evaluation of retinopathy of prematurity. / Jokl, Danny H Kauffmann; Silverman, Ronald H.; Springer, Alan D.; Towers, Helen; Kane, Steven; Lopez, Robert; Chiang, Michael; Lloyd, Harriet O.; Barbazetto, Irene; Horowitz, Robyn; Vidne, Orit.

In: Journal of Pediatric Ophthalmology and Strabismus, Vol. 41, No. 6, 11.2004, p. 345-350.

Research output: Contribution to journalArticle

Jokl, DHK, Silverman, RH, Springer, AD, Towers, H, Kane, S, Lopez, R, Chiang, M, Lloyd, HO, Barbazetto, I, Horowitz, R & Vidne, O 2004, 'Comparison of ultrasonic and ophthalmoscopic evaluation of retinopathy of prematurity', Journal of Pediatric Ophthalmology and Strabismus, vol. 41, no. 6, pp. 345-350.
Jokl DHK, Silverman RH, Springer AD, Towers H, Kane S, Lopez R et al. Comparison of ultrasonic and ophthalmoscopic evaluation of retinopathy of prematurity. Journal of Pediatric Ophthalmology and Strabismus. 2004 Nov;41(6):345-350.
Jokl, Danny H Kauffmann ; Silverman, Ronald H. ; Springer, Alan D. ; Towers, Helen ; Kane, Steven ; Lopez, Robert ; Chiang, Michael ; Lloyd, Harriet O. ; Barbazetto, Irene ; Horowitz, Robyn ; Vidne, Orit. / Comparison of ultrasonic and ophthalmoscopic evaluation of retinopathy of prematurity. In: Journal of Pediatric Ophthalmology and Strabismus. 2004 ; Vol. 41, No. 6. pp. 345-350.
@article{670ff4a1096541f3a5b0f86d6d8f8bce,
title = "Comparison of ultrasonic and ophthalmoscopic evaluation of retinopathy of prematurity",
abstract = "Purpose: Screening for detection of retinopathy of prematurity (ROP) currently is limited to indirect ophthalmoscopy, which requires considerable examiner skill and experience. We investigated whether conventional 10 MHz B-scan ultrasonography could document the clinical stages of ROP as accurately as indirect ophthalmoscopy. Methods: Thirty-four eyes of 18 neonates were examined by masked, independent observers with indirect ophthalmoscopy and digitally recorded 10-MHz B-scan ultrasonography. After pupil dilation and lid speculum placement, the retinologist recorded the stage of retinopathy with a retinal drawing. The ultrasonographer, without use of papillary mydriatics or lid speculum, determined the presence or absence of a ridge or tractional elements, if present on the ridge. Results: Ultrasound grade correlated with clinical grade (R = .79, P <.001). However, nine eyes were overdiagnosed by one stage, and one eye, in which a peripheral detachment was mistaken for an artifact, was underdiagnosed. Conclusions: Ten-megahertz ultrasonography offers the potential of imaging and detecting the clinical stages of ROP; the use of higher ultrasound frequencies, now becoming commercially available, is likely to enhance diagnostic accuracy. Care must be taken to distinguish between artifact and true anatomical structures in noncontact ultrasound examinations. Neonates with suspected ROP could be screened with B-scan ultrasonography by neonatal personnel without pupillary dilatation or lid speculum, thus eliminating potential morbidity, and clinically significant cases of ROP then could be referred to the retinologist.",
author = "Jokl, {Danny H Kauffmann} and Silverman, {Ronald H.} and Springer, {Alan D.} and Helen Towers and Steven Kane and Robert Lopez and Michael Chiang and Lloyd, {Harriet O.} and Irene Barbazetto and Robyn Horowitz and Orit Vidne",
year = "2004",
month = "11",
language = "English (US)",
volume = "41",
pages = "345--350",
journal = "Journal of Pediatric Ophthalmology and Strabismus",
issn = "0191-3913",
publisher = "Slack Incorporated",
number = "6",

}

TY - JOUR

T1 - Comparison of ultrasonic and ophthalmoscopic evaluation of retinopathy of prematurity

AU - Jokl, Danny H Kauffmann

AU - Silverman, Ronald H.

AU - Springer, Alan D.

AU - Towers, Helen

AU - Kane, Steven

AU - Lopez, Robert

AU - Chiang, Michael

AU - Lloyd, Harriet O.

AU - Barbazetto, Irene

AU - Horowitz, Robyn

AU - Vidne, Orit

PY - 2004/11

Y1 - 2004/11

N2 - Purpose: Screening for detection of retinopathy of prematurity (ROP) currently is limited to indirect ophthalmoscopy, which requires considerable examiner skill and experience. We investigated whether conventional 10 MHz B-scan ultrasonography could document the clinical stages of ROP as accurately as indirect ophthalmoscopy. Methods: Thirty-four eyes of 18 neonates were examined by masked, independent observers with indirect ophthalmoscopy and digitally recorded 10-MHz B-scan ultrasonography. After pupil dilation and lid speculum placement, the retinologist recorded the stage of retinopathy with a retinal drawing. The ultrasonographer, without use of papillary mydriatics or lid speculum, determined the presence or absence of a ridge or tractional elements, if present on the ridge. Results: Ultrasound grade correlated with clinical grade (R = .79, P <.001). However, nine eyes were overdiagnosed by one stage, and one eye, in which a peripheral detachment was mistaken for an artifact, was underdiagnosed. Conclusions: Ten-megahertz ultrasonography offers the potential of imaging and detecting the clinical stages of ROP; the use of higher ultrasound frequencies, now becoming commercially available, is likely to enhance diagnostic accuracy. Care must be taken to distinguish between artifact and true anatomical structures in noncontact ultrasound examinations. Neonates with suspected ROP could be screened with B-scan ultrasonography by neonatal personnel without pupillary dilatation or lid speculum, thus eliminating potential morbidity, and clinically significant cases of ROP then could be referred to the retinologist.

AB - Purpose: Screening for detection of retinopathy of prematurity (ROP) currently is limited to indirect ophthalmoscopy, which requires considerable examiner skill and experience. We investigated whether conventional 10 MHz B-scan ultrasonography could document the clinical stages of ROP as accurately as indirect ophthalmoscopy. Methods: Thirty-four eyes of 18 neonates were examined by masked, independent observers with indirect ophthalmoscopy and digitally recorded 10-MHz B-scan ultrasonography. After pupil dilation and lid speculum placement, the retinologist recorded the stage of retinopathy with a retinal drawing. The ultrasonographer, without use of papillary mydriatics or lid speculum, determined the presence or absence of a ridge or tractional elements, if present on the ridge. Results: Ultrasound grade correlated with clinical grade (R = .79, P <.001). However, nine eyes were overdiagnosed by one stage, and one eye, in which a peripheral detachment was mistaken for an artifact, was underdiagnosed. Conclusions: Ten-megahertz ultrasonography offers the potential of imaging and detecting the clinical stages of ROP; the use of higher ultrasound frequencies, now becoming commercially available, is likely to enhance diagnostic accuracy. Care must be taken to distinguish between artifact and true anatomical structures in noncontact ultrasound examinations. Neonates with suspected ROP could be screened with B-scan ultrasonography by neonatal personnel without pupillary dilatation or lid speculum, thus eliminating potential morbidity, and clinically significant cases of ROP then could be referred to the retinologist.

UR - http://www.scopus.com/inward/record.url?scp=9644302743&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=9644302743&partnerID=8YFLogxK

M3 - Article

C2 - 15609519

AN - SCOPUS:9644302743

VL - 41

SP - 345

EP - 350

JO - Journal of Pediatric Ophthalmology and Strabismus

JF - Journal of Pediatric Ophthalmology and Strabismus

SN - 0191-3913

IS - 6

ER -