AIM:To investigate the clinical value of wide angle digital imaging system(RetCam Ⅱ)for the screening of retinopathy of premature infants(ROP).

METHODS: A total of 200 cases(400 eyes)in preterm children were selected Jan. 2012 to Dec. 2015 in line with obstetric screening criteria using RetCamⅡ ROP screening children for binocular indirect ophthalmoscopy results as the gold standard, RetCamⅡ for screening value of ROP in premature children.

RESULTS:The screening of 200 cases(400 eyes)in premature infants, binocular indirect ophthalmoscopy were detected 63 eyes with ROP(15.8%), 337 normal eyes, 42 eyes with ROP phase I, 14 eyes with phase II, 7 eyes with phase III, no one with ROP phase IV and ROP phaseⅤ. A total of a 64 eyes with ROP were screened by RetCam II, which the misdiagnosis in 5 eyes, diagnostic level decreased in 6 eyes. The consistency of RetCam II detection results with binocular indirect ocular fundus examination results was 0.814, P<0.05. RetCamⅡfor screening children preterm children ROP lesion sensitivity of 93.7% and a specificity of 98.5%, missed diagnosis rate was 6.4%, misdiagnosis rate was 1.5%, 92.2% positive predictive value, negative predictive value of 98.8%.

CONCLUSION:RetCamⅡin preterm children ROP screening has high clinical value.