一种用于评估婴幼儿言语前和言语期弱视风险因素的新设备——一项初步研究。
A novel device for assessment of amblyopic risk factors in preverbal and verbal children-a pilot study.
机构信息
Department of Ophthalmology, Tel Aviv Sourasky Medical Center, affiliated to the Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
出版信息
Eye (Lond). 2022 Dec;36(12):2312-2317. doi: 10.1038/s41433-021-01860-z. Epub 2021 Dec 1.
OBJECTIVES
This paper evaluates the accuracy of the Eye-N-JOY (ENJ), a novel device (Patent no. US 9844317 B2), for identifying the presence of amblyopic risk factors. This device was developed to assess both visual acuity, ocular alignment, and eye movement; all while watching images on a tablet screen.
METHODS
A prospective, single-center, comparison study. Participants were examined by the ENJ first and then underwent a comprehensive full eye examination by pediatric ophthalmologists including cycloplegic refraction. Both the technician operating the ENJ and the physicians were masked to each other's findings. Children aged 18-72 months (1.5 to 6 years) attending a tertiary medical center for a full standard pediatric ophthalmology examination were included. The visual acuity and alignment were compared between the ENJ and the gold standard full ophthalmologic examination. The differences were noted, and the sensitivity and specificity were calculated.
RESULTS
A total of 51 children were enrolled, 33 (64.7%) girls, aged 18-72 months. All children successfully completed the examination by the ENJ. No significant difference between the ENJ and the reference examination was detected in visual acuity measurements in both eyes (Pv = 0.553 for the right eye and 0.803 for the left). Overall agreement between all referral indications between the ENJ and reference examination was 84.3%, with 90.9% agreement in VA referral criteria and 90.1% in alignment referral criteria.
CONCLUSIONS
Eye-N-Joy can reliably examine both visual acuity and ocular misalignment in verbal and pre-verbal children.
目的
本文评估了 Eye-N-JOY（ENJ）的准确性，这是一种新型设备（专利号 US 9844317 B2），用于识别弱视风险因素的存在。该设备旨在评估视力、眼球对准和眼球运动，同时在平板电脑屏幕上观看图像。
方法
这是一项前瞻性、单中心、对比研究。参与者首先接受 ENJ 检查，然后由小儿眼科医生进行全面的眼科检查，包括睫状肌麻痹验光。操作 ENJ 的技术人员和医生均对彼此的发现进行了盲法。年龄在 18-72 个月（1.5 至 6 岁）的儿童，在三级医疗中心接受全面标准小儿眼科检查，均被纳入本研究。比较 ENJ 和黄金标准全眼科检查的视力和对准情况。记录差异，并计算灵敏度和特异性。
结果
共有 51 名儿童入组，其中 33 名（64.7%）为女孩，年龄在 18-72 个月之间。所有儿童均成功完成了 ENJ 检查。右眼（Pv=0.553）和左眼（Pv=0.803）的 ENJ 和参考检查的视力测量值之间无显著差异。ENJ 和参考检查之间的所有转诊指征的总体一致性为 84.3%，VA 转诊标准的一致性为 90.9%，对准转诊标准的一致性为 90.1%。
结论
Eye-N-JOY 可可靠地检查言语和言语前儿童的视力和眼球偏斜。
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