非眼科医生与眼科医生采用布吕克纳测试筛查屈光不正的效果：一项对比研究。
Efficacy of Brückner's Test for Screening of Refractive Errors by Non-ophthalmologist Versus Ophthalmologist: A Comparative Study.
作者信息
Rajalakshmi A R, Rajeshwari M
机构信息
Department of Ophthalmology, Mahatma Gandhi Medical College and Research Institute, Sri Balaji Vidyapeeth (Deemed to be University), Puducherry, India.
出版信息
Middle East Afr J Ophthalmol. 2020 Jan 29;26(4):185-188. doi: 10.4103/meajo.MEAJO_121_19. eCollection 2019 Oct-Dec.
OBJECTIVE
The aim of this study is to assess the efficacy of Brückner's test as a screening tool for identifying refractive errors by a non-ophthalmologist and to assess the inter-observer variation.
SUBJECTS AND METHODS
This was a quasi-experimental study conducted at a tertiary care medical college hospital. Brückner's test was performed by a non-ophthalmologist followed by an ophthalmologist. The results were confirmed by cycloplegic refraction.
RESULTS
The study included 75 children (31 males and 44 females) with a mean age of 13.3 ± 1.2 years. The results of Brückner's test by both non-ophthalmologist and ophthalmologist showed good sensitivity and specificity when compared with cycloplegic refraction. There was a good strength of agreement between the observations of non-ophthalmologist and ophthalmologist.
CONCLUSION
Brückner's test is simple, quick, reliable, and easy to administer on children of all age groups that can provide information about the presence of refractive errors by using a coaxial light source such as direct ophthalmoscope. The application of this test by training primary care providers would be of immense value in the early identification of refractive errors.
目的
本研究旨在评估布吕克纳氏试验作为非眼科医生识别屈光不正筛查工具的有效性，并评估观察者间的差异。
受试者与方法
这是一项在三级医疗医学院附属医院进行的准实验研究。由一名非眼科医生进行布吕克纳氏试验，随后由一名眼科医生进行。结果通过睫状肌麻痹验光得到确认。
结果
该研究纳入了75名儿童（31名男性和44名女性），平均年龄为13.3±1.2岁。与睫状肌麻痹验光相比，非眼科医生和眼科医生进行的布吕克纳氏试验结果均显示出良好的敏感性和特异性。非眼科医生和眼科医生的观察结果之间存在良好的一致性。
结论
布吕克纳氏试验简单、快速、可靠，易于在各年龄组儿童中实施，通过使用直接检眼镜等同轴光源可提供有关屈光不正存在的信息。通过培训初级保健提供者应用该试验，对于屈光不正的早期识别将具有巨大价值。
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