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Evaluation of the Spot Vision Screener in comparison with the orthoptic examination in visual screening in 3–5 year-old schoolchildren

Abstract : Purpose: To evaluate the Spot Vision Screener (SVS) compared with the orthoptic examination for detection of amblyopia risk factors in preschools. Methods: This prospective study included children with a visual screening organized by the department of le (PMI) in Cote dOr (Burgundy, France), between June 2017 and April 2018. All children were evaluated with the SVS followed by a clinical orthoptic examination. Results with the SVS were compared with those obtained by clinical orthoptic examination. Results: A total of 1236 subjects were included in the study from 100 preschools. The mean age of the children was 3.6 +/- 0.7 years, and 627 were female (50.7%). The orthoptic examination detected 308 (24.9%) children with subnormal visual acuity for age in one eye or both. In children with a history of prematurity, the orthoptic examination was more frequently abnormal (P = 0.002), which was not seen with the SVS (P = 0.050). The SVS screened 20 (1.6%) children with strabismus, while 40 (3.2%) were detected by orthoptic examination. At the end of the screening, the SVS detected 182 (14.7%) suspect patients while 311 (25.1%) suspect patients were detected after the orthoptic examination. Comparing SVS with orthoptic examination, agreement was fair (kappa = 0.4). Conclusion: The SVS can be a useful device for visual screening, but agreement with the orthoptic examination was only fair. The Spot vision screener should be used in conjunction with a clinical orthoptic examination.
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https://hal.inrae.fr/hal-02865858
Déposant : Sabine Julien <>
Soumis le : vendredi 12 juin 2020 - 09:14:05
Dernière modification le : samedi 13 juin 2020 - 03:37:25

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L. Sigronde, J. Blanc, S. Aho, C. Pallot, A.-M. Bron, et al.. Evaluation of the Spot Vision Screener in comparison with the orthoptic examination in visual screening in 3–5 year-old schoolchildren. Journal Français D'Ophtalmologie, Elsevier Masson, 2020, 43 (5), pp.411-416. ⟨10.1016/j.jfo.2019.10.006⟩. ⟨hal-02865858⟩

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