Screening for refractive errors in children: The plusoptiX S08 and the Retinomax K-plus2 performed by a lay screener compared to cycloplegic retinoscopy
Screening for refractive errors in children: The plusoptiX S08 and the Retinomax K-plus2 performed by a lay screener compared to cycloplegic retinoscopy
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DOI：
10.1016/j.jaapos.2010.09.015
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发表时间：
2010-12-01
期刊：
影响因子：
1.6
通讯作者：
Schalij-Delfos, Nicoline E.
中科院分区：
文献类型：
--
作者：
Paff, Tamara;Oudesluys-Murphy, Anne Marie;Schalij-Delfos, Nicoline E.
目的评价自动验光仪Retinomax K-plus 2和photo-screener plusoptiX S 08在测量屈光不正的性能，通过比较它们与睫状肌麻痹视网膜检影（CR）和评估与其use.METHODS相关的局限性横断面研究，比较CR的数据，由一名矫正医师进行，从Retinomax K-plus 2和plusoptiX S 08的数据由一名外行筛选。根据美国儿科眼科学会和斜视criterions. RESULTS标准确定了检测显著屈光不正的敏感性和特异性，共纳入200名儿童，平均年龄为5.2 +/- 2.6岁（3个月至11岁）。与CR相比，plusoptiX S 08显示等效球镜（SE）的平均差异为-1.13 +/- 1.25 D（95%一致性限值[LOA]，-3.59至+1.32），柱镜为-0.23 +/- 0.53 D（LOA，-1.28至+0.81）。在睫状肌麻痹之前，Retinomax K-plus 2的平均差异为-0.08 +/- 0.58 D（LOA，-1.23至+1.06），SE和0.03 +/- 0.38 D（LOA，-0.72至+0.78）;睫状肌麻痹后，SE为-2.11 +/- 1.64 D（LOA，-5.33至+1.10），圆筒为-0.06 +/- 0.47 D（LOA，-0.98至+0.86）。PlusoptiX S 08检测远视>3.5 D的灵敏度为33.3%，视网膜光凝在睫状肌麻痹前为31.0%，在睫状肌麻痹后为84.6%，检测近视、散光和屈光参差的灵敏度较高。结论与睫状肌麻痹视网膜检影法相比，视网膜光凝K-plus 2和PlusoptiX S 08检测近视、散光和屈光参差的灵敏度较高;然而，当不使用睫状肌麻痹剂时，远视被低估了。（J AAPOS 2010;14：478-483）
PURPOSE To evaluate the performance of the autorefractor Retinomax K-plus2 and the photo-screener plusoptiX S08 in measuring refractive errors by comparing them with cycloplegic retinoscopy (CR) and to assess limitations associated with their use.METHODS Cross-sectional study to compare data from CR, performed by an orthoptist, to data from Retinomax K-plus2 and plusoptiX S08 performed by a lay screener. Sensitivity and specificity for the detection of significant refractive errors were determined according to American Academy of Pediatric Ophthalmology and Strabismus criteria.RESULTS Two hundred children were included, with a mean age of 5.2 +/- 2.6 years (3 months to 11 years). Compared to CR, the plusoptiX S08 showed a mean difference of -1.13 +/- 1.25 D (95% limits of agreement [LOA], -3.59 to +1.32) for spherical equivalent (SE) and -0.23 +/- 0.53 D (LOA, -1.28 to +0.81) for the cylinder. Mean difference for the Retinomax K-plus2 before cycloplegia was -0.08 +/- 0.58 D (LOA, -1.23 to +1.06) for SE and 0.03 +/- 0.38 D (LOA, -0.72 to +0.78) for the cylinder; after cycloplegia -2.11 +/- 1.64 D (LOA, -5.33 to +1.10) for SE and -0.06 +/- 0.47 D (LOA, -0.98 to +0.86) for the cylinder. Sensitivity for detecting hyperopia >3.5 D with the plusoptiX S08 was 33.3%, the Retinomax before cycloplegia 31.0% and after cycloplegia 84.6% and high for detecting myopia, astigmatism, and anisometropia.CONCLUSIONS Retinomax K-plus2 and plusoptiX S08 have high sensitivity for the detection of myopia, astigmatism, and anisometropia compared to cycloplegic retinoscopy; however, when used without cycloplegia, hyperopia is underestimated. (J AAPOS 2010;14:478-483)