Marzolf Amanda L, Peterseim M Millicent, Forcina Blake D, Papa Carrie, Wilson M Edward, Cheeseman Edward W, Trivedi Rupal H
Storm Eye Institute, Medical University of South Carolina, Charleston.
Storm Eye Institute, Medical University of South Carolina, Charleston.
J AAPOS. 2017 Aug;21(4):313-315.e1. doi: 10.1016/j.jaapos.2017.04.008. Epub 2017 Jul 5.
To determine whether the Spot Vision Screener effectively detects amblyopia risk factors (ARFs) in patients with developmental disability using the 2013 guidelines of the American Association for Pediatric Ophthalmology and Strabismus (AAPOS).
Children with developmental disability presenting for complete pediatric ophthalmologic examination were prospectively enrolled between June 2012 and March 2016. The following data were analyzed: presence of ARFs according to the AAPOS guidelines, refraction, eye alignment, and other ocular pathology.
A total of 100 children (average age, 5.7 years; range, 2.2- 9.2 years) were included. The prevalence of ARFs in this cohort was 38%. The sensitivity of the Spot Vision Screener in detecting amblyopia risk factors was 84%; the specificity, 62%. The positive predictive value was 58%; the negative predictive value, 86%.
In our study cohort the Spot Vision Screener provided good sensitivity and adequate specificity for a screening examination. Automated screeners may be useful in screening children with developmental disability.
根据美国小儿眼科与斜视学会（AAPOS）2013年指南，确定Spot视力筛查仪能否有效检测发育障碍患者的弱视危险因素（ARF）。
前瞻性纳入2012年6月至2016年3月期间前来进行全面小儿眼科检查的发育障碍儿童。分析以下数据：根据AAPOS指南确定的ARF的存在情况、屈光、眼位及其他眼部病变。
共纳入100名儿童（平均年龄5.7岁；范围2.2 - 9.2岁）。该队列中ARF的患病率为38%。Spot视力筛查仪检测弱视危险因素的灵敏度为84%；特异度为62%。阳性预测值为58%；阴性预测值为86%。
在我们的研究队列中，Spot视力筛查仪在筛查检查中具有良好的灵敏度和足够的特异度。自动筛查仪可能有助于筛查发育障碍儿童。
