Clinical Performance of the Spot Vision Photo Screener before and after Induction of Cycloplegia in Children
Clinical Performance of the Spot Vision Photo Screener before and after Induction of Cycloplegia in Children
复制标题
儿童睫状肌麻痹诱导前后Spot Vision Photo Screener的临床表现
DOI：
10.1155/2019/5329121
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发表时间：
2019
影响因子：
1.9
通讯作者：
K. Yakar
中科院分区：
文献类型：
--
作者：
K. Yakar
目的比较Spot Vision Screener用于检测儿童弱视危险因素（ARF）的临床性能，在诱导睫状肌麻痹之前和之后;儿童因符合美国儿科眼科和斜视协会（AAPOS）的筛选标准而被转诊。方法采用Spot Vision Screener和标准自动验光仪对100例（200只眼）3-10岁儿童在睫状肌麻痹诱导前后进行ARF检查。使用AAPOS推荐标准测量检测显著屈光不正的敏感性、特异性、阳性预测值和阴性预测值。探索了Spot Screener数据受睫状肌麻痹的影响。使用Wilcoxon和斯皮尔曼相关性分析评估了睫状肌麻痹/非睫状肌麻痹光筛选数据与睫状肌麻痹自动验光测量之间的一致程度。结果与标准验光仪相比，Spot验光仪的灵敏度从60.9%提高到85.3%，特异度从94.9%提高到87.4%。Spot的阳性预测值为75.7%，阴性预测值为90.4%。Spot对睫状肌麻痹的阳性预测值为63.6%，阴性预测值为95.8%。结论Spot Screener对睫状肌麻痹的敏感性中等，特异性高。诱导睫状肌麻痹后，敏感性和阴性预测值提高。检查者应注意睫状肌麻痹对其检查结果的影响。
Aim To compare the clinical performance of the Spot Vision Screener used to detect amblyopia risk factors (ARFs) in children before and after induction of cycloplegia; the children were referred because they met the screening criteria of the American Association for Pediatric Ophthalmology and Strabismus (AAPOS). Methods The Spot Vision Screener and a standard autorefractometer were used to examine 200 eyes of 100 children aged 3–10 years, before and after cycloplegia induction, in terms of ARFs. Sensitivity, specificity, and positive and negative predictive values for the detection of significant refractive errors were measured using the AAPOS referral criteria. It was explored that Spot Screener data were affected by cycloplegia. The extent of agreement between cycloplegic/noncycloplegic photoscreening data and cycloplegic autorefraction measurements was assessed using Wilcoxon and Spearman correlation analyses. Results The Spot's sensitivity was improved from 60.9% to 85.3% and specificity from 94.9% to 87.4% with cycloplegia compared to cycloplegic standard autorefractometer results. The positive predictive value of Spot was 75.7%, and the negative predictive value was 90.4% without cycloplegia. With cycloplegia, the positive predictive value of Spot was 63.6% and the negative predictive value was 95.8%. Conclusions The Spot Screener afforded moderate sensitivity and high specificity prior to cycloplegia. The sensitivity and negative predictive value improved after induction of cycloplegia. Examiners should be aware of the effects of cycloplegia on their findings.
影响因子：
4.2
作者：
Peterseim, Mae Millicent W.;Papa, Carrie E.;Wilson, M. Edward;Cheeseman, Edward W.;Wolf, Bethany J.;Davidson, Jennifer D.;Trivedi, Rupal H.
通讯作者：
Trivedi, Rupal H.
影响因子：
13.7
作者：
Varma, Rohit;Abbott, LaVina;Zhu, Amy
通讯作者：
Zhu, Amy
影响因子：
13.7
作者：
Friedman DS;Repka MX;Katz J;Giordano L;Ibironke J;Hawse P;Tielsch JM
通讯作者：
Tielsch JM