March 2012
Volume 53, Issue 14
Free
ARVO Annual Meeting Abstract  |   March 2012
Inter-Screener Agreement in Refractive Error Measurements between Nurse and Lay Screener in Administering Retinomax and SureSight
Author Affiliations & Notes
  • Jiayan Huang
    Ophthalmology, University of Pennsylvania, Philadelphia, Pennsylvania
  • Gui-Shuang Ying
    Ophthalmology, Scheie Eye Institute, Philadelphia, Pennsylvania
  • Maureen G. Maguire
    Ophthalmology, University of Pennsylvania, Philadelphia, Pennsylvania
  • Graham E. Quinn
    Pediatric Ophthalmology, Childrens Hospital of Philadelphia, Philadelphia, Pennsylvania
  • Marjean T. Kulp
    College of Optometry, Ohio State University, Columbus, Ohio
  • Lynn A. Cyert
    Oklahoma College of Optometry, Northeastern State Univ, Tahlequah, Oklahoma
  • Agnieshka Baumritter
    Ophthalmology, Children’s Hospital of Philadelphia, Philadelphia, Pennsylvania
  • Elise Ciner
    Salus University, Elkins Park, Pennsylvania
  • Deborah A. Orel-Bixler
    School of Optometry, University of California, Berkeley, Berkeley, California
  • Footnotes
    Commercial Relationships  Jiayan Huang, None; Gui-Shuang Ying, None; Maureen G. Maguire, None; Graham E. Quinn, None; Marjean T. Kulp, None; Lynn A. Cyert, None; Agnieshka Baumritter, None; Elise Ciner, None; Deborah A. Orel-Bixler, None
  • Footnotes
    Support  NEI/NIH, DHHS grants: U10EY12644; U10EY12547; U10EY12545; U10EY12550; U10EY12534; U10EY12647; U10EY12648 and R21EY018908.
Investigative Ophthalmology & Visual Science March 2012, Vol.53, 3598. doi:https://doi.org/
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      Jiayan Huang, Gui-Shuang Ying, Maureen G. Maguire, Graham E. Quinn, Marjean T. Kulp, Lynn A. Cyert, Agnieshka Baumritter, Elise Ciner, Deborah A. Orel-Bixler; Inter-Screener Agreement in Refractive Error Measurements between Nurse and Lay Screener in Administering Retinomax and SureSight. Invest. Ophthalmol. Vis. Sci. 2012;53(14):3598. doi: https://doi.org/.

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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract
 
Purpose:
 

To determine the inter-screener agreement of refractive error measurements between nurse and lay screeners in administering the Retinomax Autorefractor (Retinomax) and the SureSight Vision Screener (SureSight).

 
Methods:
 

1452 Head Start preschoolers (aged 3- to 5-years old) were enrolled into the Vision In Preschoolers (VIP) Phase II Study. Both trained pediatric nurse screeners and trained lay screeners conducted screening in a random order using the Retinomax and SureSight for each eye of the children. The inter-screener agreements between nurse and lay screeners were assessed for sphere, cylinder and spherical equivalent (SE), using mean inter-screener difference and the 95% limits of agreement.

 
Results:
 

As shown in Table, the Retinomax demonstrated good inter-screener agreement between nurse and lay screeners. The mean inter-screener differences were within 0.04 D. The 95% limits of agreement were within 2.2 D for both sphere and SE and 0.9 D for cylinder. The SureSight had a mean inter-screener difference within 0.25 D and 95% limits of agreement within 2.3 D for sphere and cylinder. While the Retinomax had better inter-screener agreement in cylinder than the SureSight, both instruments had similar inter-screener agreement of SE. The inter-screener agreement did not differ by preschooler age for either instrument.

 
Conclusions:
 

Among the Head Start preschoolers, the results of screening by trained nurses and lay screeners agree well in measuring refractive error using the Retinomax or SureSight. Both instruments had similar inter-screener agreement in SE.  

 
Keywords: clinical (human) or epidemiologic studies: systems/equipment/techniques • refractive error development 
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