The rising prevalence of retinopathy of prematurity (ROP) in low- and middle-income countries has increased the need for screening at-risk infants. The purpose of this article was to review the impact of tele-medicine and technology on ROP screening programs. Adhering to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, a systematic review was performed using PubMed, Pro-Quest, and Google Scholar bibliographic search engine. Terms searched included retinopathy of prematurity, telemedicine, and tele-ophthalmology. Data regarding internet access and gross domestic product per capita were obtained from the World Bank. Information was also obtained about internet access, speeds, and costs in low-income countries. There has been increasing integration of telemedicine and technology for ROP screening and management. Low-income countries are using available internet options and information and communications technology for ROP screening, which can aid in addressing the unique challenges faced by low-income countries. This provides a promising solution to the third epidemic of ROP by expanding and improving screening and management. Although telemedicine systems may serve as a cost-effective approach to facilitate delivery of health care, programs (especially in lowand middle-income countries) require national support to maintain its infrastructure. [J Pediatr Ophthalmol Strabismus. 2021;58(4):261-269.].

中文翻译：

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通过远程医疗和技术解决早产儿视网膜病变的第三次流行：系统评价。

在低收入和中等收入国家，早产儿视网膜病变 (ROP) 的患病率不断上升，增加了对高危婴儿进行筛查的需求。本文的目的是回顾远程医疗和技术对 ROP 筛查计划的影响。遵循系统评价和元分析的首选报告项目 (PRISMA) 指南，使用 PubMed、Pro-Quest 和 Google Scholar 书目搜索引擎进行了系统评价。搜索的术语包括早产儿视网膜病变、远程医疗和远程眼科。有关互联网接入和人均国内生产总值的数据来自世界银行。还获得了有关低收入国家的互联网接入、速度和成本的信息。远程医疗和 ROP 筛查和管理技术的集成越来越多。低收入国家正在使用可用的互联网选项以及信息和通信技术进行 ROP 筛查，这有助于解决低收入国家面临的独特挑战。这通过扩大和改进筛查和管理为 ROP 的第三次流行提供了有希望的解决方案。尽管远程医疗系统可以作为促进提供医疗保健的一种具有成本效益的方法，但项目（尤其是在低收入和中等收入国家）需要国家支持来维护其基础设施。[J Pediatr Ophthalmol 斜视。2021;58(4):261-269.]。这通过扩大和改进筛查和管理为 ROP 的第三次流行提供了有希望的解决方案。尽管远程医疗系统可以作为促进提供医疗保健的一种具有成本效益的方法，但项目（尤其是在低收入和中等收入国家）需要国家支持来维护其基础设施。[J Pediatr Ophthalmol 斜视。2021;58(4):261-269.]。这通过扩大和改进筛查和管理为 ROP 的第三次流行提供了有希望的解决方案。尽管远程医疗系统可以作为促进提供医疗保健的一种具有成本效益的方法，但项目（尤其是在低收入和中等收入国家）需要国家支持来维护其基础设施。[J Pediatr Ophthalmol 斜视。2021;58(4):261-269.]。