Hohmann A, Rüssmann W, Kaszli F A
Schielbehandlung und Neuroophthalmologie, Universität zu Köln.
Klin Monbl Augenheilkd. 1997 Jul;211(1):41-7. doi: 10.1055/s-2008-1035093.
In Germany the paediatricians use three different visual acuity tests (Pictures, Rodenstock-Test, H-Test). We investigated the effectiveness of these procedures.
In this study 303 children were referred by paediatricians to the study group in the Cologne Augenklinik. They were fully examined by an orthoptist and an ophthalmologist (gold standard).
From these data the sensitivity and specificity of the tests used by the paediatricians were calculated. Only the H-Test proved to be satisfactory.
The actual situation of screening for amblyopia by paediatricians in children aged 3 1/2 to 4 is unsatisfactory in Germany. Paediatricians and ophthalmologists should use a similar test for visual acuity. Continuing education of medical personnel is desirable to ensure an adequate quality of screening.
在德国，儿科医生使用三种不同的视力测试方法（图片测试、罗敦司得测试、H测试）。我们对这些方法的有效性进行了调查。
在本研究中，303名儿童由儿科医生转介至科隆眼科诊所的研究组。他们由一名斜视弱视治疗师和一名眼科医生进行了全面检查（金标准）。
根据这些数据计算了儿科医生所使用测试方法的敏感性和特异性。只有H测试被证明是令人满意的。
在德国，3岁半至4岁儿童的儿科医生弱视筛查实际情况并不理想。儿科医生和眼科医生应使用类似的视力测试方法。对医务人员进行继续教育以确保足够的筛查质量是很有必要的。
