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Kyle Kravetz, Noelle Matta, David Silbert; Comparison of a gold-standard cycloplegic refraction to a cycloplegic autorefraction using the Retinomax K-plus3 on children. Invest. Ophthalmol. Vis. Sci. 2013;54(15):3983.
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To evaluate the accuracy of the Spot photoscreener in detecting amblyopia risk factors in children using the current AAPOS referral criteria and the recently proposed revision to these criteria. We will also propose revised referral criteria for the device to improve sensitivity and specificity.
Retrospective chart review of 157 children who had a Spot photoscreening as part of a pediatric ophthalmology examination. Visual acuity, alignment and a pediatric ophthalmology examination were performed.
157 children were examined. The average age was 3 years (range 1 to 16 years). 43% of children were found to have amblyopia risk factors based on the current AAPOS referral criteria. The sensitivity and specificity was 96% and 74%. With the proposed revisions to the AAPOS referral criteria, 48% of children were found to have amblyopia risk factors and the sensitivity and specificity of the Spot photoscreening was 92% and 81%.
The Spot photoscreener is found to be a reliable automated device for detecting amblyopia risk factors in children. It seems to perform better with the newly revised AAPOS referral criteria.
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