{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T22:37:21Z","timestamp":1790289441317,"version":"4.1.0"},"reference-count":23,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2021,4,29]],"date-time":"2021-04-29T00:00:00Z","timestamp":1619654400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Exper Ophthalmology"],"published-print":{"date-parts":[[2021,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>ROP screening is vital in care of premature infants but is considered burdensome, difficult and time consuming for ophthalmologists.  This study assessed the reduction in workload following the introduction of nurse\u2010led WFDRI to a large neonatal nursery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We report a retrospective audit of 628 infants screened for ROP in the years 2010, 2013 and 2019 at the Royal Women's Hospital, Victoria.  The last complete year of screening for ROP using binocular indirect ophthalmoscopy (BIO) alone (2010) was compared with two subsequent years after the introduction of nurse\u2010led WFDRI. The main outcome measures were the time taken to report and document WFDRI and the time taken to undertake BIO examination of a premature infant and document the results.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The ophthalmologist's time taken to conduct BIO, review images and document the results per 100 patient examinations was reduced from 16.7 hours before introduction of WFDRI to 3.7 hours. Similarly, the weekly time spent on this component of ROP screening fell from 2.3 hours per week to 0.8 and 1.0 hours per week after introduction of WFDRI.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The introduction of nurse\u2010led WFDRI has resulted in a dramatic and sustained reduction in ophthalmologist workload involved in ROP screening in a large Australian neonatal nursery. This may result in improved retention of the ophthalmic workforce required to undertake ROP screening.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ceo.13926","type":"journal-article","created":{"date-parts":[[2021,3,31]],"date-time":"2021-03-31T17:16:28Z","timestamp":1617210988000},"page":"368-372","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Changed ophthalmic workload following introduction of digital retinal photography for retinopathy of prematurity screening"],"prefix":"10.1111","volume":"49","author":[{"given":"Joshua S.","family":"Tram","sequence":"first","affiliation":[{"name":"Faculty of Medicine, Dentistry and Health Science University of Melbourne  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bernadette M.","family":"Golding","sequence":"additional","affiliation":[{"name":"Department of Neonatology Royal Women's Hospital  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christine","family":"Lim","sequence":"additional","affiliation":[{"name":"Department of Neonatology Royal Women's Hospital  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carl A.","family":"Kuschel","sequence":"additional","affiliation":[{"name":"Department of Neonatology Royal Women's Hospital  Melbourne Victoria Australia"},{"name":"Department of Obstetrics and Gynaecology University of Melbourne  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0214-2304","authenticated-orcid":false,"given":"James E.","family":"Elder","sequence":"additional","affiliation":[{"name":"Department of Neonatology Royal Women's Hospital  Melbourne Victoria Australia"},{"name":"Department of Paediatrics University of Melbourne  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,4,29]]},"reference":[{"key":"e_1_2_6_2_1","first-page":"124","article-title":"Retinopathy of prematurity","volume":"78","author":"Bashinsky AL","year":"2017","journal-title":"N C Med J"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12098-017-2404-3"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1136\/archdischild-2016-310532"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajo.2016.04.014"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.7196\/SAMJ.2016.v106i6.10358"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1001\/archopht.121.12.1684"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcjo.2017.08.018"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/ceo.13160"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2016-1978"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1136\/archdischild-2015-308704"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.semperi.2019.05.010"},{"key":"e_1_2_6_13_1","first-page":"178","article-title":"Imaging in retinopathy of prematurity","volume":"8","author":"Valikodath N","year":"2019","journal-title":"Asia Pac J Ophthalmol (Phila)"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcjo.2014.11.005"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaapos.2016.08.004"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.3928\/01913913-20190215-01"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1167\/tvst.8.2.2"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.4103\/ijo.IJO_1232_19"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.survophthal.2012.07.003"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1442-9071.2010.02399.x"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.oret.2017.12.003"},{"key":"e_1_2_6_22_1","doi-asserted-by":"publisher","DOI":"10.4103\/2229-3485.159943"},{"key":"e_1_2_6_23_1","doi-asserted-by":"publisher","DOI":"10.1001\/archopht.126.4.493"},{"key":"e_1_2_6_24_1","doi-asserted-by":"publisher","DOI":"10.1097\/ANC.0000000000000243"}],"container-title":["Clinical &amp; 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