Wright M C, Colville D J, Oberklaid F
University of Melbourne, Department of Paediatrics, Royal Children's Hospital, Parkville, Victoria, Australia.
Arch Dis Child. 1995 Sep;73(3):192-5. doi: 10.1136/adc.73.3.192.
Photoscreeners are becoming increasingly available and are being widely used to screen for visual abnormalities in young children. However, consideration of accepted criteria for screening programs indicates there is still much further research that needs to be carried out before amblyopia screening could be recommended as a routine component of a community health surveillance program--an adequate description of the potential consequences of an individual developing amblyopia has yet to be provided and the natural history of the condition and factors that determine the effectiveness of treatment have yet to be fully described. While there is the promise of technology that satisfies specific test requirements, this still needs to be trialed in community settings and community trials are required before it will be possible to determine whether the costs that will be incurred in carrying out routine screening and in providing the resources for treatment are warranted. In conclusion, the development of new and possibly more effective technology for screening is only part of the answer to the amblyopia question. While superficially this technology makes screening for amblyopia a possibility, we do not know at this stage whether or not it is appropriate.
照片筛查仪越来越普及，并被广泛用于筛查幼儿的视力异常情况。然而，对筛查项目公认标准的考量表明，在弱视筛查能够被推荐作为社区健康监测项目的常规组成部分之前，仍有许多进一步的研究需要开展——目前尚未提供对个体患弱视潜在后果的充分描述，且该病症的自然病程以及决定治疗效果的因素也尚未得到充分描述。虽然存在满足特定检测要求的技术前景，但这仍需要在社区环境中进行试验，并且在能够确定进行常规筛查以及提供治疗资源所产生的成本是否合理之前，需要开展社区试验。总之，开发新的且可能更有效的筛查技术只是弱视问题答案的一部分。虽然从表面上看，这项技术使弱视筛查成为可能，但我们目前尚不知道它是否合适。
