Feldman Samuel, Peterseim Mae Millicent W, Trivedi Rupal H, Edward Wilson M, Cheeseman Edward W, Papa Carrie E
J Pediatr Ophthalmol Strabismus. 2017 May 1;54(3):163-167. doi: 10.3928/01913913-20161013-05. Epub 2016 Dec 16.
To evaluate the usefulness of the Plus Lens (Goodlite Company, Elgin, IL) test and the Spot Vision Screener (Welch Allyn, Skaneateles Falls, NY) in detecting high hyperopia in a pediatric population.
Between June and August 2015, patients were screened with the Spot Vision Screener and the Plus Lens test prior to a scheduled pediatric ophthalmology visit. The following data were analyzed: demographic data, Plus Lens result, Spot Vision Screener result, cycloplegic refraction, and examination findings. Sensitivity/specificity and positive/negative predictive values were calculated for the Plus Lens test and Spot Vision Screener in detecting hyperopia as determined by the "gold-standard" cycloplegic refraction.
A total of 109 children (average age: 82 months) were included. Compared to the ophthalmologist's cycloplegic refraction, the Spot Vision Screener sensitivity for +3.50 diopters (D) hyperopia was 31.25% and the specificity was 100%. The Plus Lens sensitivity for +3.50 D hyperopia was 43.75% and the specificity was 89.25%. Spot Vision Screener sensitivity increased with higher degrees of hyperopia.
In this preliminary study, the Plus Lens test and the Spot Vision Screener demonstrated moderate sensitivity with good specificity in detecting high hyperopia. [J Pediatr Ophthalmol Strabismus. 2017;54(3):163-167.].
评估正透镜测试（Goodlite公司，伊利诺伊州埃尔金）和点状视力筛查仪（伟伦公司，纽约州斯卡奈特勒斯福尔斯）在检测儿童群体中高度远视方面的效用。
2015年6月至8月期间，在预定的儿科眼科就诊前，使用点状视力筛查仪和正透镜测试对患者进行筛查。分析了以下数据：人口统计学数据、正透镜测试结果、点状视力筛查仪结果、睫状肌麻痹验光结果和检查结果。计算正透镜测试和点状视力筛查仪在检测由“金标准”睫状肌麻痹验光确定的远视时的敏感度/特异度以及阳性/阴性预测值。
共纳入109名儿童（平均年龄：82个月）。与眼科医生的睫状肌麻痹验光相比，点状视力筛查仪对+3.50屈光度（D）远视的敏感度为31.25%，特异度为100%。正透镜测试对+3.50 D远视的敏感度为43.75%，特异度为89.25%。点状视力筛查仪的敏感度随着远视度数的增加而提高。
在这项初步研究中，正透镜测试和点状视力筛查仪在检测高度远视方面显示出中等敏感度和良好的特异度。[《小儿眼科与斜视杂志》。2017；54(3)：163 - 167。]
