Comparison of computer-photoscreening with non-cycloplegic retinoscopy for amblyopiogenic risk factors in children
- VernacularTitle:计算机折射摄影与小瞳检影在儿童弱视筛查的比较
- Author:
Xiangming GUO
;
Xiaoyun JIA
;
Li GUO
;
Xueshan XIAO
;
Qingjiong ZHANG
- Publication Type:Journal Article
- Keywords:
vision screening;
amblyopia;
computer-photoscreening;
non-cycloplegic retinoscopy
- From:
Recent Advances in Ophthalmology
2000;20(6):393-396
- CountryChina
- Language:Chinese
-
Abstract:
Objective To determine the sensitivity and specificity of using the computer-photoscreener and non-cycloplegic retinoscopy in the detection of amblyopiogenic factors in nine to fifty months old infants.Methods Three hundred children whose ages range from nine to fifty months were screened with the computer-photoscreener and non-cycloplegic retinoscopy. With a masked standardized clinical assessment as the standard, an overall comparison of the results obtained with the two techniques revealed a sensitivity and specificity. Photoscreen images on the computer monitor screen were reviewed and analyzed immediately by two independent observers for indicators of amblyopiogenic risk factors. Simultaneously, the results were compared to the findings of a full ophthalmologic examination.Results The computer-photoscreener revealed a sensitivity of 94.2% and specificity of 90.1%, and the non-cycloplegic retinocopy revealed a sensitivity of 85.7% and specificity of 81.1% for the detection of amblyopiogenic risk factors, including hyperopia (+2.75 D or more), myopia (-1.50 D or more), astigmatism (2.00 D or more),anisometropia (2.00 D or more), ocular misalignment (5 degrees or more), and media opacity (1.5mm or more). Conclusion The computer-photoscreener offers an opportunity to identify problems that limit vision, and could provide a feasible and sufficiently reliable screening technique in infants and preschool children who can be screened successfully for amblyopiogenic risk factors.
