Effectiveness of the Spot Vision Screener in screening 3-year-old children with potential amblyopia in Japan
Effectiveness of the Spot Vision Screener in screening 3-year-old children with potential amblyopia in Japan
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DOI：
10.1007/s10384-021-00823-x
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发表时间：
2021-03-01
影响因子：
2.4
通讯作者：
Yamashita, Hidetoshi
中科院分区：
文献类型：
--
作者：
Hayashi, Shion;Suzuki, Issaku;Yamashita, Hidetoshi
目的本研究的目的是比较常规筛查和基于Spot（TM）Vision Screener（SVS）的筛查在三岁儿童健康筛查计划（VTYOS）视力检查中发现潜在弱视病例的效率，这些病例需要进行综合检查。研究设计基于人群的横断面研究方法本研究将基于SVS的测试引入日本山形县Sagae的VTYOS（包括小学，中学和综合考试）。年龄3岁6个月的儿童计划进行二次检查，进行了基于SVS（评估屈光不正和眼睛对齐）和传统的筛选测试（问卷调查和视力评估）。成功率，需要全面检查的儿童的比例，实际全面检查的比率，阳性预测值进行了测定，并比较了常规筛查和基于SVS的筛查。结果294例受试者中，基于SVS的筛查成功率（99.7%）高于常规筛查（89.5%，p < 0.01）。根据基于SVS的结果发现需要进行全面检查的参与者比例（7.5%）低于根据传统筛查结果发现的参与者比例（23.5%，p < 0.01）。SVS筛查试验的阳性预测值（75.0%）高于常规筛查试验的阳性预测值（31.6%）（P < 0.01）。在225例通过常规筛查的患者中，基于SVS的筛查检出2例弱视。结论VTYOS应在常规筛查的基础上增加基于SVS的筛查。
Purpose The purpose of this study was to compare the efficiency of conventional screening and of the Spot (TM) Vision Screener (SVS)-based screening in detecting potential cases of amblyopia during the Visual examination in Three-Year-Old Health Screening Program (VTYOS), that need to be referred for comprehensive examination. Study Design Population-based cross-sectional study Methods This study introduced the SVS-based test to the VTYOS (which includes primary, secondary, and comprehensive examinations) of Sagae, Yamagata Prefecture, Japan. Children aged 3 years 6 months scheduled to undergo the secondary examination were subjected to both the SVS-based (evaluation of refractive error and eye alignment) and conventional screening test (questionnaire and visual acuity evaluation). Success rates, proportion of children who needed a comprehensive examination, rates of actual comprehensive examinations, and positive predictive value were determined and compared between conventional screening and SVS-based screening. Results There were 294 participants; the rate of success of SVS-based screening (99.7%) was higher than conventional screening (89.5%, p < 0.01). The proportion of participants found to need a comprehensive examination according to SVS-based findings (7.5%) was lower than that according to conventional screening-based findings (23.5%, p < 0.01). The positive predictive value of the SVS-based screening test (75.0%) was higher than that of the conventional screening test (31.6%, p < 0.01). SVS-based screening detected 2 cases of amblyopia in 225 cases that passed conventional screening. Conclusion The VTYOS should ideally add SVS-based screening to conventional screening.