The effectiveness of the Spot Vision Screener in detecting amblyopia risk factors
The effectiveness of the Spot Vision Screener in detecting amblyopia risk factors
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DOI：
10.1016/j.jaapos.2014.07.176
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发表时间：
2014-12-01
期刊：
影响因子：
1.6
通讯作者：
Trivedi, Rupal
中科院分区：
文献类型：
--
作者：
Peterseim, Mae Millicent W.;Papa, Carrie E.;Trivedi, Rupal
目的：根据2013年美国儿童眼科和斜视协会（AAPOS）指南，评估更新后的Spot Vision Screener （PediaVision, Welch Allyn, Skaneateles Falls， NY）检测弱视危险因素的效果。方法：在这项前瞻性研究中，2012年6月至2013年11月期间就诊的患者在检查前由儿童眼科医生进行Spot测试，该医生对测试结果进行了掩盖。分析以下数据：年龄、受试者可测性、检查结果、全身和眼部病理。将儿童分为三个年龄组，根据AAPOS指南确定金标准结果。结果共纳入444例患儿，平均年龄72个月。与眼科医生检查相比，Spot检测弱视危险因素的敏感性为87.7%，特异性为75.9%。敏感性在年龄组之间没有显著差异，尽管阳性预测值在老年组中有所提高。在我们的研究队列中，根据2013年AAPOS标准，Spot在检测弱视危险因素方面具有良好的特异性和敏感性，更新版本后略有改进。
PURPOSE To evaluate the updated Spot Vision Screener (PediaVision, Welch Allyn, Skaneateles Falls, NY) in detecting amblyopia risk factors using 2013 guidelines of American Association for Pediatric Ophthalmology and Strabismus (AAPOS).METHODS In this prospective study, patients seen from June 2012 to November 2013 were tested with the Spot prior to examination by a pediatric ophthalmologist who was masked to test results. The following data were analyzed: age, subject testability, examination findings, and systemic and ocular pathology. Children were divided into three age groups to determine gold standard results according to the AAPOS guidelines.RESULTS A total of 444 children (average age, 72 months) were included. Compared to the ophthalmologist's examination, the Spot sensitivity was 87.7% and the specificity was 75.9% in detecting amblyopia risk factors. Sensitivity did not differ significantly between age groups, although the positive predictive value improved in the older age groups.CONCLUSIONS In our study cohort, the Spot provided good specificity and sensitivity in detecting amblyopia risk factors according 2013 AAPOS criteria, with minor improvements with updated versions.