Bourcier-Bareil F, Lecuyer A I, Burel B, Delplace M P
Service d'Ophtalmologie, Hôpital R. Ballanger, 93602 Aulnay-sous-Bois.
J Fr Ophtalmol. 2001 Dec;24(10):1034-9.
To evaluate the accuracy of the Bébé-Vision test for detecting strabismic, ametropic and anisometropic amblyopia in childhood.
We screened 199 infants under 20 months of age. The screening consisted of a full orthoptic examination by a trained orthopist (cover test, fixation test), a forced choice preferential looking technique (Bébé-Vision test) prior to cycloplegia to test visual acuity, cycloplegic refraction by retinoscopy, and examination of the fundi.
Fifteen infants were abnormal on orthoptic examination (clinical evidence of esotropia and/or limitation of abduction and/or amblyopia). The Bébé-Vision test demonstrated a significant interocular difference on the same side of the suspected amblyopic eye in 3 cases and on the opposite side in 3 cases, and no difference in 9 cases. The monocular Bébé-Vision test was abnormal in 51 cases and there was an abnormal cycloplegic refraction in 33 cases. Statistical analysis of these tests demonstrated a very low sensitivity (42%) and a good specificity (90%) for the Bébé-Vision test in detecting amblyopia related to refractive error.
The Bébé-Vision test does not reliably reveal strabismic or anisometropic amblyopia and is not recommended as a screening test. Diagnosis should continue to be based mainly on the classical clinical methods.
评估Bébé-Vision测试在检测儿童斜视性、屈光不正性和屈光参差性弱视方面的准确性。
我们对199名20个月以下的婴儿进行了筛查。筛查包括由训练有素的视光师进行全面的视光学检查（遮盖试验、注视试验）、在睫状肌麻痹前采用强制选择优先注视技术（Bébé-Vision测试）来检测视力、通过检影法进行睫状肌麻痹验光以及眼底检查。
15名婴儿在视光学检查中异常（有内斜视和/或外展受限和/或弱视的临床证据）。Bébé-Vision测试在3例疑似弱视眼同侧显示出显著的眼间差异，在3例对侧显示出显著差异，9例无差异。单眼Bébé-Vision测试在51例中异常，33例有异常的睫状肌麻痹验光。对这些测试的统计分析表明，Bébé-Vision测试在检测屈光不正相关弱视方面敏感性非常低（42%），特异性良好（90%）。
Bébé-Vision测试不能可靠地发现斜视性或屈光参差性弱视，不推荐作为筛查测试。诊断仍应主要基于经典的临床方法。
