Forcina Blake D, Peterseim M Millicent, Wilson M Edward, Cheeseman Edward W, Feldman Samuel, Marzolf Amanda L, Wolf Bethany J, Trivedi Rupal H
Storm Eye Institute, Medical University of South Carolina, Charleston, South Carolina.
Storm Eye Institute, Medical University of South Carolina, Charleston, South Carolina.
Am J Ophthalmol. 2017 Jun;178:79-83. doi: 10.1016/j.ajo.2017.03.014. Epub 2017 Mar 21.
To evaluate the use of the Spot Vision Screener (Spot; Welch Allyn, Skaneateles Falls, New York, USA) for detection of amblyopia risk factors in children aged 6 months to 3 years, as defined by the 2013 guidelines of the American Association for Pediatric Ophthalmology and Strabismus.
Reliability analysis.
In this study, children seen from June 1, 2012, to April 30, 2016 were tested with the Spot during a routine visit. Enrolled children underwent a comprehensive eye examination including cycloplegic refraction and sensorimotor testing within 6 months of the testing date by a pediatric ophthalmologist masked to the Spot results.
A total of 184 children were included. The Spot successfully obtained readings in 89.7% of patients. Compared with the ophthalmologist's examination, the Spot had an overall sensitivity of 89.8% and a specificity of 70.4%.
The Spot achieved good sensitivity and specificity for detection of amblyopia risk factors in this young cohort, particularly in the older subgroup. Our data offer support for automated vision screening in young children.
根据美国小儿眼科与斜视协会2013年指南的定义，评估使用Spot视力筛查仪（Spot；伟伦公司，美国纽约州斯卡奈特勒斯福尔斯）检测6个月至3岁儿童弱视危险因素的情况。
可靠性分析。
在本研究中，于2012年6月1日至2016年4月30日期间就诊的儿童在常规就诊时使用Spot进行检测。登记入组的儿童在检测日期后的6个月内由一位对Spot检测结果不知情的小儿眼科医生进行包括睫状肌麻痹验光和感觉运动测试在内的全面眼部检查。
共纳入184名儿童。Spot在89.7%的患者中成功获取读数。与眼科医生的检查相比，Spot的总体敏感性为89.8%，特异性为70.4%。
Spot在这个年幼队列中对弱视危险因素的检测具有良好的敏感性和特异性，尤其是在年龄较大的亚组中。我们的数据为幼儿自动视力筛查提供了支持。
