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

Screening for retinopathy of prematurity (ROP) is currently undertaken by experienced ophthalmologists using indirect ophthalmoscopy. However, the proportion of screened infants requiring treatment is very low; only 6% of infants who weigh less than 1251 g reached the threshold for treatment in the Cryotherapy for Retinopathy of Prematurity Study,¹ and fewer than 2% of infants in an audit of screening practices in the United Kingdom required treatment.² Such a low treatment yield represents a massive funnel effect. This is probably not an appropriate use of expensive ophthalmic expertise in the United States or the United Kingdom and even more so in countries where such expertise is sparse.

The use of wide-field digital retinal imaging (RetCam 120; Massie Research Laboratories, Inc, Dublin, Calif) allows us to explore the role of other professionals in ROP screening. Roth et al³ have undertaken a useful exercise by comparing images obtained using the RetCam 120 . . . [Full Text of this Article]

Corresponding author: Alistair R. Fielder, FRCP, FRCS, FRCOphth, Department of Ophthalmology, Imperial College Faculty of Medicine, Laboratory Block, Charing Cross Hospital, Fulham Palace Road, London W6 8RF, England.

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