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Auteur Bruce Moore
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Ajouter le résultat dans votre panier Affiner la rechercheDetection of Amblyogenic Refractive Error Using the Spot Vision Screener in Children / Hilary Gaiser in OVS : Optometry & Vision Science, vol. 97, 05 (Mai 2020)
[article]
in OVS : Optometry & Vision Science > vol. 97, 05 (Mai 2020) . - p. 316-323
Titre : Detection of Amblyogenic Refractive Error Using the Spot Vision Screener in Children Type de document : article de périodique Auteurs : Hilary Gaiser ; Bruce Moore ; Gayathri Srinivasan ; Nadine Solaka ; Ran He Année de publication : 2020 Article en page(s) : p. 316-323 Langues : Français (fre) Descripteurs (mots clés) : [Thésaurus Mesh]Amblyopie
[Thésaurus Mesh]Dépistage visuel
[Thésaurus Mesh]Diagnostic
[Thésaurus Mesh]Enfant
[Thésaurus Mesh]Maladies de l'oeil
[Thésaurus Mesh]Troubles de la réfraction oculaireMots-clés : child vision screening refractive errors amblyopia eye diseases diagnosis Résumé : SIGNIFICANCE: Vision screenings are conducted to detect significant refractive errors, amblyopia, and ocular diseases. Vision screening devices are desired to have high testability, sensitivity, and specificity. Spot has demonstrated high testability, but previous reports suggest that the Spot has low sensitivity for detecting amblyogenic hyperopia and moderate sensitivity for amblyogenic astigmatism. PURPOSE: This study assessed the concurrent validity of detecting amblyogenic refractive errors by the Spot (v.1.1.50; Welch Allyn Inc., Skaneateles Falls, NY) compared with cycloplegic retinoscopy. METHODS: A total of 475 subjects (24 to 96 months) were screened by Spot and then received a masked comprehensive examination. Sensitivity and specificity, Bland-Altman plot, receiver operating characteristic area under the curve, and paired t test were evaluated by comparing the results of the Spot (v1.1.50) using the manufacturer referral criteria with the results of the comprehensive examination using the 2013 American Association for Pediatric Ophthalmology and Strabismus criteria. RESULTS: The Spot (v.1.1.50) referred 107 subjects (22.53%) for the following: 18.73% (89/475) astigmatism, 4.63% (22/475) myopia, 0.42% (2/475) hyperopia, and 2.11% (10/475) anisometropia. The sensitivity and specificity of the Spot vision screener for detecting amblyogenic risk factors were 86.08% (95% confidence interval [CI], 76.45 to 92.84%) and 90.15% (95% CI, 86.78 to 92.90%). Areas under the curve were 0.906 (95% CI, 0.836 to 0.976) for hyperopia, 0.887 (95% CI, 0.803 to 0.972) for spherical equivalent, and 0.914 (95% CI, 0.866 to 0.962) for astigmatism. A modified hyperopia criteria cutoff of greater than +1.06 D improved the sensitivity from 25 to 80% with 90% specificity. The current cutoff criterion, greater than −1.75 D, for astigmatism seemed optimal. CONCLUSIONS: This study shows that the Spot vision screener accurately detects low spherical refractive errors and astigmatism. Lowering the hyperopia cutoff criteria from the current Spot screener referral criteria improves the sensitivity with desired (high) specificity. Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité aucun exemplaire Detection of Significant Hyperopia in Preschool Children Using Two Automated Vision Screeners / Maureen G. Maguire in OVS : Optometry & Vision Science, vol. 99, 02 (février 2022)
[article]
in OVS : Optometry & Vision Science > vol. 99, 02 (février 2022)
Titre : Detection of Significant Hyperopia in Preschool Children Using Two Automated Vision Screeners Type de document : article de périodique Auteurs : Maureen G. Maguire ; Gui-shuang Ying ; Elise B. Ciner ; Marjean T. Kulp ; Rowan Candy ; Bruce Moore Année de publication : 2022 Langues : Français (fre) Descripteurs (mots clés) : [Thésaurus Mesh]:H:Hypermétropie:Hypermétropie / diagnostic
[Thésaurus Mesh]Amblyopie
[Thésaurus Mesh]Dépistage visuel
[Thésaurus Mesh]Enfant
[Thésaurus Mesh]Strabisme
[Thésaurus Mesh]Troubles de l'apprentissage
[Thésaurus Mesh]Troubles de la visionRésumé : SIGNIFICANCE
Moderate to high uncorrected hyperopia in preschool children is associated with amblyopia, strabismus, reduced visual function, and reduced literacy. Detecting significant hyperopia during screening is important to allow children to be followed for development of amblyopia or strabismus and implementation of any needed ophthalmic or educational interventions.
PURPOSE
This study aimed to compare the sensitivity and specificity of two automated screening devices to identify preschool children with moderate to high hyperopia.
METHODS
Children in the Vision in Preschoolers (VIP) study were screened with the Retinomax Autorefractor (Nikon, Inc., Melville, NY) and Plusoptix Power Refractor II (Plusoptix, Nuremberg, Germany) and examined by masked eye care professionals to detect the targeted conditions of amblyopia, strabismus, or significant refractive error, and reduced visual acuity. Significant hyperopia (American Association for Pediatric Ophthalmology and Strabismus definition of hyperopia as an amblyopia risk factor), based on cycloplegic retinoscopy, was >4.00 D for age 36 to 48 months and >3.50 D for age older than 48 months. Referral criteria from VIP for each device and from a distributor (PediaVision) for the Power Refractor II were applied to screening results.
RESULTS
Among 1430 children, 132 children had significant hyperopia in at least one eye. Using the VIP referral criteria, sensitivities for significant hyperopia were 80.3% for the Retinomax and 69.7% for the Power Refractor II (difference, 10.6%; 95% confidence interval, 7.0 to 20.5%; P = .04); specificities relative to any targeted condition were 89.9 and 89.1%, respectively. Using the PediaVision referral criteria for the Power Refractor, sensitivity for significant hyperopia was 84.9%; however, specificity relative to any targeted condition was 78.3%, 11.6% lower than the specificity for the Retinomax. Analyses using the VIP definition of significant hyperopia yielded results similar to when the American Association for Pediatric Ophthalmology and Strabismus definition was used.
DISCUSSION
When implementing vision screening programs for preschool children, the potential for automated devices that use eccentric photorefraction to either miss detecting significant hyperopia or increase false-positive referrals must be taken into consideration.Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
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