ArticleScientific reports2026
Digital infrared reflex testing and asynchronous teleconsultation for infant eye screening.
Article in Scientific reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Authors and funding
12 authors.
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Abstract
Early detection and documentation of anterior segment opacities in infants (aged 1–6 months) is limited by resource constraints and specialist availability. This study aimed to evaluate the usefulness of digital infrared reflex testing (IRRT) and to estimate the feasibility of asynchronous teleconsultation between primary care paediatricians and ophthalmologists for infant eye screening. From April 2024 to March 2025, 189 infants aged 1–6 months underwent both digital IRRT and standard red reflex testing (RRT) in primary care settings. Digital images and clinical data were evaluated using teleconsultation between paediatricians and ophthalmologists. The feasibility endpoints included the proportion of successful teleconsultations, user acceptability, and technical barriers. IRRT versus RRT diagnostic agreement and the IRRT inconclusive examination rate were also assessed. Teleconsultation was feasible in 84% of the cases. The principal barriers were operational issues (time and setting) and staff training needs. Digital IRRT had an inconclusive result rate of 5.3% and high agreement with RRT (AC1 = 0.994, 95% CI: 0.983–1.000). Digital IRRT combined with teleconsultation is a feasible and accurate approach for infant eye screening in primary care settings, supporting image documentation, integration into telemedicine workflows, and potential future AI applications.
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