Screening Procedure
The screening is best performed in the presence of a neonatologist or pediatrician, ideally in the 'step-down room' of the neonatal intensive care unit. Key steps include:
Administering the last feed approximately 1 hour before the examination.
Dilating the infant’s pupils.
Swaddling the infant in warm linen wraps.
Conducting the ROP examination using indirect ophthalmoscopy with a 20 or 28 D lens, or preferably with Retcam imaging for documentation.
Monitoring for signs of shortness of breath and bradycardia
Using sterile pellets soaked in 24% sucrose or 10% dextrose for analgesia.
Ensuring a functional resuscitation kit is readily available.