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Plusoptix S12R 照片筛查仪与睫状肌麻痹检影验光和自动折射在儿科年龄组的比较。

Comparison of Plusoptix S12R photoscreener with cycloplegic retinoscopy and autorefraction in pediatric age group.

机构信息

Guru Nanak Eye Centre, Maulana Azad Medical College, New Delhi, India.

Vardhman Mahavir Medical College, New Delhi, India.

出版信息

Indian J Ophthalmol. 2019 Oct;67(10):1555-1559. doi: 10.4103/ijo.IJO_1465_18.

DOI:10.4103/ijo.IJO_1465_18
PMID:31546479
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6786145/
Abstract

PURPOSE

To compare refractive measurements of noncycloplegic photoscreener Plusoptix S12R with cycloplegic retinoscopy, noncycloplegic autorefractor, and cycloplegic autorefractor in children.

METHODS

The study population (200 eyes of 100 children) was divided into two groups: Group 1 (age 3-7 years) and Group 2 (age 8-15 years). In Group 1, Plusoptix was compared with cycloplegic retinoscopy. In Group 2, Plusoptix was compared with cycloplegic retinoscopy and autorefraction. The second group was made because the younger group was found to be uncooperative for autorefraction. Paired t-test and Pearson's correlation were used for statistical analysis.

RESULTS

The mean difference in sphere (DS), spherical equivalent (DSE), and cylinder (DC) between cycloplegic retinoscopy and Plusoptix in Group 1 was 0.68 ± 0.55 (P < 0.001), 0.77 ± 0.61 (P < 0.001), and 0.18 ± 0.28 (P < 0.001), respectively. In Group 2, DS, DSE, and DC between cycloplegic retinoscopy and Plusoptix were 0.86 ± 0.49 (P < 0.001), 0.97 ± 0.51 (P < 0.001), and 0.23 ± 0.28 (P < 0.001); between cycloplegic autorefractor and Plusoptix were 0.69 ± 0.47 (P < 0.001), 0.74 ± 0.49 (P < 0.001), and 0.10 ± 0.31 (P = 0.002); and between noncycloplegic autorefractor and Plusoptix were - 0.25 ± 0.39 (P < 0.001), -0.19 ± 0.41 (P < 0.001), and 0.11 ± 0.31 (P < 0.001), respectively. Pearson's correlation coefficients of S, SE, and C between Plusoptix and cycloplegic retinoscopy were 0.948, 0.938, and 0.924 in Group 1 and 0.972, 0.972, and 0.946 in Group 2, and these values were statistically significant. Bland-Altman plots showed good agreement between cycloplegic retinoscopy and Plusoptix in both groups. Plusoptix gave axis values within 10° of cycloplegic retinoscopy in 81.56% of eyes in Group 1 and in 71.44% of eyes in Group 2.

CONCLUSION

Plusoptix photoscreener can be used for prescription of axis of cylinder in children; however, other refractive measurements must be refined by cycloplegic retinoscopy.

摘要

目的

比较非睫状肌麻痹照片筛选仪 Plusoptix S12R 与睫状肌麻痹检影、非睫状肌自动折射仪和睫状肌麻痹自动折射仪在儿童中的屈光测量结果。

方法

研究人群（200 只眼，100 名儿童）分为两组：第 1 组（3-7 岁）和第 2 组（8-15 岁）。第 1 组中，Plusoptix 与睫状肌麻痹检影进行比较。第 2 组中，Plusoptix 与睫状肌麻痹检影和自动折射仪进行比较。之所以对第 2 组进行比较，是因为发现年龄较小的组对自动折射不配合。采用配对 t 检验和 Pearson 相关进行统计学分析。

结果

第 1 组中，睫状肌麻痹检影与 Plusoptix 在球镜（DS）、球镜等效（DSE）和柱镜（DC）方面的平均差值分别为 0.68±0.55（P＜0.001）、0.77±0.61（P＜0.001）和 0.18±0.28（P＜0.001）。第 2 组中，睫状肌麻痹检影与 Plusoptix 在 DS、DSE 和 DC 方面的差值分别为 0.86±0.49（P＜0.001）、0.97±0.51（P＜0.001）和 0.23±0.28（P＜0.001）；睫状肌麻痹自动折射仪与 Plusoptix 的差值分别为 0.69±0.47（P＜0.001）、0.74±0.49（P＜0.001）和 0.10±0.31（P=0.002）；非睫状肌自动折射仪与 Plusoptix 的差值分别为-0.25±0.39（P＜0.001）、-0.19±0.41（P＜0.001）和 0.11±0.31（P＜0.001）。第 1 组和第 2 组中，Plusoptix 与睫状肌麻痹检影的 S、SE 和 C 的 Pearson 相关系数分别为 0.948、0.938 和 0.924，为 0.972、0.972 和 0.946，均具有统计学意义。Bland-Altman 图显示两组中 Plusoptix 与睫状肌麻痹检影之间具有良好的一致性。第 1 组中有 81.56%的眼和第 2 组中有 71.44%的眼的柱镜轴位值在 Plusoptix 与睫状肌麻痹检影的 10°范围内。

结论

在儿童中，非睫状肌麻痹照片筛选仪 Plusoptix 可用于柱镜轴的处方，但其他屈光测量值必须通过睫状肌麻痹检影进行细化。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0205/6786145/6d8094924edb/IJO-67-1555-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0205/6786145/db692577ba37/IJO-67-1555-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0205/6786145/d720e13a5ed7/IJO-67-1555-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0205/6786145/583a6ea5a18b/IJO-67-1555-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0205/6786145/6d8094924edb/IJO-67-1555-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0205/6786145/db692577ba37/IJO-67-1555-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0205/6786145/d720e13a5ed7/IJO-67-1555-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0205/6786145/583a6ea5a18b/IJO-67-1555-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0205/6786145/6d8094924edb/IJO-67-1555-g004.jpg

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