Pediatric vision screening using the plusoptiX A12C photoscreener in Chinese preschool children aged 3 to 4 years.
Pediatric vision screening using the plusoptiX A12C photoscreener in Chinese preschool children aged 3 to 4 years.
复制标题
使用 plusoptiX A12C 光电筛查仪对中国 3 至 4 岁学龄前儿童进行儿童视力筛查
DOI：
10.1038/s41598-017-02246-6
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发表时间：
2017-05-17
影响因子：
4.6
通讯作者：
Liu H
中科院分区：
文献类型：
--
作者：
Huang D;Chen X;Zhang X;Wang Y;Zhu H;Ding H;Bai J;Chen J;Fu Z;Wang Z;Liu H
本研究评价了plusoptiX A12 C在3-4岁中国儿童中检测弱视危险因素（ARF）的性能。PlusoptiX检查在1，766名未使用睫状肌麻痹的受试者中成功进行，以检测屈光不正、不对称和中膜混浊。对357例疑有视力异常的儿童进行散瞳视网膜检影检查。使用平均球镜值（+1.41 ± 0.87 D vs +1.14 ± 0.81 D）、柱镜值（−0.47 ± 0.64 vs −0.84 ± 0.78）和等效球镜（SE）值（+1.17 ± 0.84 D vs +0.72 ± 0.64 D）证实CR和器械之间的统计学差异（均P < 0.0001）。正视组中，柱镜和SE差异有统计学意义（均P < 0.0001），但球镜差异无统计学意义（P= 0.33）。远视组球镜、柱镜、SE值差异均有统计学意义（均P < 0.0001）。分别计算屈光性和斜视性ARF检测的敏感性、特异性、阳性预测值和阴性预测值。
This study evaluated the performance of plusoptiX A12C in detecting amblyopia risk factors (ARFs) in Chinese children aged 3-to-4-year. PlusoptiX examination was successfully conducted among 1,766 subjects without cycloplegia to detect refractive error, asymmetry and media opacity. Cycloplegic retinoscopy (CR) was conducted on 357 children suspected of having vision abnormalities. Statistical differences between CR and the device were confirmed using the mean spherical value (+1.41 ± 0.87 D versus +1.14 ± 0.81 D), cylindrical value (−0.47 ± 0.64 versus −0.84 ± 0.78) and spherical equivalent (SE) value (+1.17 ± 0.84 D versus +0.72 ± 0.64 D) (allP< 0.0001). In the emmetropia group, the differences were statistically significant for the cylinder and SE (allP< 0.0001) but not the sphere (P= 0.33). In the hyperopia group, the differences were statistically significant for the sphere, cylinder and SE (allP< 0.0001). For refractive and strabismic ARFs detection, the sensitivity, specificity, positive predictive value, and negative predictive value were calculated, respectively.