Silbert David I, Matta Noelle S, Ely Amanda L
Vision Science Department, Family eye Group, Lancaster, Pennsylvania.
Vision Science Department, Family eye Group, Lancaster, Pennsylvania.
J AAPOS. 2014 Feb;18(1):42-4. doi: 10.1016/j.jaapos.2013.09.006.
To evaluate the SureSight autorefractor and compare it to the plusoptiX A09 photoscreener in the detection of amblyopia risk factors in a cohort of Honduran children examined during medical mission work and to assess the utility of both devices in the rural setting.
The medical records of patients who had undergone SureSight autorefractor screening, plusoptiX photoscreening, and a gold standard pediatric ophthalmology examination, including cycloplegic refraction, during a recent medical mission trip to Honduras were retrospectively reviewed.
A total of 216 children were examined. Of these, 9 (4%) were found to have amblyopia risk factors based on the current referral criteria of the American Association for Pediatric Ophthalmology and Strabismus on ophthalmological examination. The plusoptiX was found to have 89% sensitivity and 80% specificity; the SureSight, using manufacturer's referral criteria, was found to have sensitivity of 89% and specificity of 71%.
Both devices were found to be reliable vision screening devices when used on the general population of remote villages in Honduras, although the specificity of the plusoptiX A09 was higher.
评估SureSight自动验光仪,并将其与plusoptiX A09电脑验光仪进行比较,以检测在医疗任务工作期间接受检查的一群洪都拉斯儿童中的弱视危险因素,并评估这两种设备在农村地区的实用性。
回顾性分析了近期前往洪都拉斯的一次医疗任务中,接受SureSight自动验光仪筛查、plusoptiX电脑验光筛查以及包括散瞳验光在内的金标准小儿眼科检查的患者的病历。
共检查了216名儿童。其中,根据美国小儿眼科与斜视协会目前的眼科检查转诊标准,有9名(4%)被发现有弱视危险因素。发现plusoptiX的灵敏度为89%,特异度为80%;使用制造商转诊标准的SureSight的灵敏度为89%,特异度为71%。
在洪都拉斯偏远村庄的普通人群中使用时,这两种设备均被发现是可靠的视力筛查设备,尽管plusoptiX A09的特异度更高。