BACKGROUND: New photoscreening models promise to detect amblyopia risk factors early in hopes of reducing permanent pediatric monocular and binocular vision impairment. The 3 commercially available interpreted photoscreeners had not yet been compared. METHODS: This is a prospective, observational screening study following AAPOS guidelines on pediatric patients with and without developmental delays. 270 patients in a pediatric eye practice aged 4.7 +/- 4 years with 7% special needs. From December 2011 through March 2012, the Plusoptix, the iScreen, and the Pediavision SPOT were applied before confirmatory exam in a clinical pediatric eye practice. RESULTS: The inconclusive rate ranged from 1-4% (iScreen) to 12% (Plusoptix). Sensitivity ranged from 72% (iScreen) to 84% (Plusoptix) and specificity ranged from 68% (SPOT) to 94% (Plusoptix). The iScreen can provide results in 99% of high risk patients. CONCLUSIONS: In this cohort with high pre-screening prevalence, the 2011 photoscreeners had favorable validation that is expected to improve with further clinical study. Pediatricians have practical technology with a recognized procedure code to assist in amblyopia reduction.
BACKGROUND: New photoscreening models promise to detect amblyopia risk factors early in hopes of reducing permanent pediatric monocular and binocular vision impairment. The 3 commercially available interpreted photoscreeners had not yet been compared. METHODS: This is a prospective, observational screening study following AAPOS guidelines on pediatric patients with and without developmental delays. 270 patients in a pediatric eye practice aged 4.7 +/- 4 years with 7% special needs. From December 2011 through March 2012, the Plusoptix, the iScreen, and the Pediavision SPOT were applied before confirmatory exam in a clinical pediatric eye practice. RESULTS: The inconclusive rate ranged from 1-4% (iScreen) to 12% (Plusoptix). Sensitivity ranged from 72% (iScreen) to 84% (Plusoptix) and specificity ranged from 68% (SPOT) to 94% (Plusoptix). The iScreen can provide results in 99% of high risk patients. CONCLUSIONS: In this cohort with high pre-screening prevalence, the 2011 photoscreeners had favorable validation that is expected to improve with further clinical study. Pediatricians have practical technology with a recognized procedure code to assist in amblyopia reduction.
Authors: Duane A Chang; Roger C Ede; Dominic C Chow; Ryan D Souza; Louie Mar A Gangcuangco; Nancy Hanks; Beau K Nakamoto; Brooks Mitchell; Alison T Masutani; Sam Fisk; Cecilia M Shikuma; Jan E Dill Journal: Hawaii J Med Public Health Date: 2015-09
Authors: Mae Millicent W Peterseim; Carrie E Papa; M Edward Wilson; Jennifer D Davidson; Maria Shtessel; Mavesh Husain; Edward W Cheeseman; Bethany J Wolf; Rupal Trivedi Journal: J AAPOS Date: 2014-12 Impact factor: 1.220
Authors: Mae Millicent W Peterseim; Carrie E Papa; M Edward Wilson; Edward W Cheeseman; Bethany J Wolf; Jennifer D Davidson; Rupal H Trivedi Journal: Am J Ophthalmol Date: 2014-08-01 Impact factor: 5.258