AI Article Synopsis
- A study compared smartphone photoscreening for amblyopia in young children to other commercial objective screening methods.
- Pediatricians used Nokia 1020 smartphones with specific software during routine check-ups, and outcomes were assessed against pediatric ophthalmology standards.
- Results showed that smartphone screening had a positive predictive value comparable to other methods, suggesting it could help increase compliance with amblyopia screening guidelines.
Article Abstract
Purpose: To compare smartphone photoscreening with other commercial objective screeners for amblyopia screening for young children.
Methods: Ten pediatricians in four practices employed Nokia 1020 smartphones (Espoo, Finland) with single-axis Gobiquity software (Scottsdale, AZ) during well-child visits. Outcomes of confirmatory pediatric ophthalmology examinations were prospectively compared using American Association for Pediatric Ophthalmology and Strabismus uniform standards.
Results: Five percent of 6,310 in-office screenings were referred: 25% for high anisometropia, 31% for hyperopia, and 15% for myopia. The positive predictive value (PPV) in 217 follow-up examinations was 68% (95% confidence interval: 62% to 74%) by 2013 age-stratified standards and 77% (confidence interval: 71% to 83%) by 2003 American Association for Pediatric Ophthalmology and Strabismus standards. The follow-up rate was 65%.
Conclusions: Smartphone photoscreening had PPV comparable with other commercial objective screeners. Simple, valid photoscreeners should help pediatricians achieve widespread compliance with screening guidelines to reduce the burden of pediatric amblyopia vision impairment. [J Pediatr Ophthalmol Strabismus. 2018;55(6):393-396.].
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| http://dx.doi.org/10.3928/01913913-20180710-01 | DOI Listing |
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