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The New Frontier

William V. Good, MD

Arch Ophthalmol. 2007;125(11):1562-1563.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Clinicians who diagnose retinopathy of prematurity (ROP) find themselves in a nearly perfect storm of converging negative influences. The goal to promptly diagnose prethreshold ROP has resulted in more frequent examinations for some infants. Meanwhile, in many regions of the United States, pediatric ophthalmology is underserved because too few ophthalmology residents choose pediatrics as a subspecialty. Some medium-sized cities must import ROP experts because none are locally available. Screening for ROP can be hazardous to the ophthalmologist. Failure to adequately follow up infants at risk for ROP can result in very large malpractice settlements. Nuances and subtleties that surround the management of adverse-outcome cases are too often debated in court and not in a scientific venue. Reimbursement for examinations barely covers overhead in some situations. Infants' parents may disappear, miss follow-up appointments, and even change the last name of their infant, stressing the efforts of the . . . [Full Text of this Article]

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