Photoscreeners in the pediatric eye office: compared testability and refractions on high-risk children.
Photoscreeners in the pediatric eye office: compared testability and refractions on high-risk children.
复制标题
DOI：
10.1016/j.ajo.2014.07.041
复制
发表时间：
2014-11
影响因子：
4.2
通讯作者：
Trivedi, Rupal H.
中科院分区：
文献类型：
--
作者：
Peterseim, Mae Millicent W.;Papa, Carrie E.;Wilson, M. Edward;Cheeseman, Edward W.;Wolf, Bethany J.;Davidson, Jennifer D.;Trivedi, Rupal H.
比较Spot（PediaVision）和Plusoptix A09（Plusoptix，Inc）光筛选器的屈光数据和可测试性，并将每种器械与传统的睫状肌麻痹视网膜检影检查进行比较。前瞻性、干预性病例系列。在知情同意后，患者在由对结果不知情的儿科眼科医生进行检查之前接受Spot和Plusoptix照片筛选器的测试。将包括可测试性和估计屈光度的数据输入研究电子数据采集数据库进行统计分析。共入组265名儿童（平均年龄6.0 ± 3.4岁）。两种器械均在250例（94.3%）患者中产生了计算机诊断结果。Spot photoscreener在所有计算机打印中提供了屈光估计，而双眼使用的Plusoptix在75.2%（188/250）的打印中提供了屈光估计。与睫状肌麻痹视网膜检影相比，两种设备均低估了远视或高估了近视（分别为-1.35 D和-0.64 D，Spot和Plusoptix），高估了散光（分别为0.36 D和0.32 D，Spot和Plusoptix）。等效球镜的组内相关系数表明睫状肌麻痹视网膜检影检查与Spot（0.806）之间具有良好的一致性，睫状肌麻痹视网膜检影检查与Plusoptix（0.898）之间具有极好的一致性。Spot photoscreener提供了更多儿童的屈光数据。验光师与睫状肌麻痹视网膜检影验光结果相关的球镜和球镜当量，但低估远视或高估近视和高估散光。Plusoptix的双眼屈光度与我们的儿科眼科医生的屈光度更接近。
To compare refractive data and testability of Spot (PediaVision) and Plusoptix A09 (Plusoptix, Inc) photoscreeners and to compare each device with traditional cycloplegic retinoscopy. Prospective, interventional case series. After informed consent, patients underwent testing with the Spot and Plusoptix photoscreeners before their examination by a pediatric ophthalmologist masked to the results. Data including testability and estimated refractions were entered into a Research Electronic Data Capture database for statistical analysis. A total of 265 children were enrolled (mean age, 6.0 ± 3.4 years). Both devices produced a computer printout result in 250 (94.3%) of the patients. The Spot photoscreener provided a refractive estimate in all computer printouts, whereas the Plusoptix, used binocularly, provided a refractive estimate in 75.2% (188/250) of the printouts. Compared with cycloplegic retinoscopy, both devices underestimated hyperopia or overestimated myopia (−1.35 diopters [D] and −0.64 D, Spot and Plusoptix, respectively) and overestimated astigmatism (0.36 D and 0.32 D, Spot and Plusoptix, respectively). The intraclass correlation coefficient for spherical equivalents indicated good agreement between cycloplegic retinoscopy and Spot (0.806) and excellent agreement between cycloplegic retinoscopy and Plusoptix (0.898). The Spot photoscreener provided refractive data on a greater percentage of children. The photorefractors correlated with cycloplegic retinoscopy refractive findings for sphere and spherical equivalents, but underestimated hyperopia or overestimated myopia and overestimated astigmatism. The binocular refractions of Plusoptix agreed more closely with the refractions of our pediatric ophthalmologists.
登录
查看更多内容
影响因子：
1.6
作者：
Silbert, David I.;Matta, Noelle S.;Andersen, Kristen
通讯作者：
Andersen, Kristen
DOI：
10.3928/01913913-20130326-01
发表时间：
2013-07-01
影响因子：
1.2
作者：
Arnold, Robert W.
通讯作者：
Arnold, Robert W.
影响因子：
1.6
作者：
Paff, Tamara;Oudesluys-Murphy, Anne Marie;Schalij-Delfos, Nicoline E.
通讯作者：
Schalij-Delfos, Nicoline E.
影响因子：
1.4
作者：
Harvey, EM;Miller, JM;Davis, AL
通讯作者：
Davis, AL
影响因子：
1.6
作者：
Arthur, Brian W.;Riyaz, Rehan;Wong, Jonathan
通讯作者：
Wong, Jonathan